Scribd
Upload
2K views

Eft Format

This document provides instructions for filling out an electronic payment request form for NEFT/RTGS payments. The form requests information such as the vendor code, organization name and address, contact details, bank account number, bank name and address, IFS code, and requires an authorized signature. Recipients are asked to courier the original completed form and a cancelled cheque to the provided address for processing electronic fund transfers.

Uploaded by

Anbu
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
2K views

Eft Format

This document provides instructions for filling out an electronic payment request form for NEFT/RTGS payments. The form requests information such as the vendor code, organization name and address, contact details, bank account number, bank name and address, IFS code, and requires an authorized signature. Recipients are asked to courier the original completed form and a cancelled cheque to the provided address for processing electronic fund transfers.

Uploaded by

Anbu
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

ELECTRONIC PAYMENT REQUEST FORMAT (NEFT/RTGS) (TO BE FILLED IN CAPITAL LETTERS) All Fields are Mandatory EIP VENDOR

CODE (Refer the PO to know your vendor code) Name of the Organization & Complete postal address with PIN Code & E-mail id. ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________

Contact No:

STD Code Phone No

Type of Organization Public Limited

Proprietary Private Limited

Partnership Firm Others

If, it is a Partnership Firm, please ensure that all the Partners sign in this Format. Bank Name: _____________________________________ Pan No:________________________________ Full Bank A/C No: (Should not have any prefix or suffix with alphabets, words, hyphen, bar, coma or full stop.) Type of Account Please tick in the box Current Cash Credit Others Specify

Bank Branch Code: (Nine digits MICR code Appearing next to cheque no.) Bank Address: (Complete postal address)

(Please attach a copy of cancelled or blank cheque) _______________________________________________ ______________________________________________

Pin: If your Banks branch is having Electronic payment facility (NEFT & RTGS), please interact with your banker and furnish IFS Code in the box given below. This is the easiest, reliable & fastest mode of payment and the fund will be directly credited to your account. (RTGS takes 2-3 hours, NEFT same day) IFS Code (Eleven digits) We hereby accept to receive our payment through Electronic Fund Transfer system. We shall intimate to you immediately in case of any change in the above particulars. (Name & Signature by Authorised Signatory with Seal) Place: Date: --------------------------------------------------------------------------------------------------------------------Please contact us at [email protected] for any further clarifications. Courier the Original filled EFT format & cancelled Cheque to below mentioned address. Larsen & Toubro Limited, SSC Accounts Payable,ECC Division,HQ Accounts, Mount Poonamallee Road,Manapakam,Chennai-600089. Ph : 044-22526818

You might also like