Scribd
Upload
132 views

EFT Detail Submission Form Word 97 Format0.1

This document is a form for updating key partner information (KYP) with Bharti Airtel and its subsidiaries. It requests information such as the partner code, principal place of business addresses, bank account details for electronic funds transfer including account number, IFSC code, account holder name, bank name and branch. It also requests submission of self-attested copies of tax registration documents. The partner declares that the information provided is correct and acknowledges that any delays or failures in payments due to incomplete or incorrect information will not hold the company responsible.

Uploaded by

nani3388
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
132 views

EFT Detail Submission Form Word 97 Format0.1

This document is a form for updating key partner information (KYP) with Bharti Airtel and its subsidiaries. It requests information such as the partner code, principal place of business addresses, bank account details for electronic funds transfer including account number, IFSC code, account holder name, bank name and branch. It also requests submission of self-attested copies of tax registration documents. The partner declares that the information provided is correct and acknowledges that any delays or failures in payments due to incomplete or incorrect information will not hold the company responsible.

Uploaded by

nani3388
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Form No EFT 1.

0 ,2013
Date :- _____________
BhartiAirtel Ltd || BhartiTelemedia Ltd || BhartiHexacom Ltd || BhartiAirtel Services Ltd || BhartiTelesonic Ltd
Courier Desk (EFT Details)C/o Master Team ( Please tick which ever is applicable )
Airtel Center, Lower Ground Floor,
Plot No : 16 , UdyogVihar , Phase - IV,
Gurgaon : 122001

Subject :-Updation of Key critical information (KYP-Know Your Partner )
Dear Sir / Madam
This is to certify that we are associated~ with Airteland our PartnerCode* reference in your record is ___________ .
Our principal place(s) of business is at following address(s) :
Site(s) Name (1) (2) (3)
Complete
Address

City
state
Pin Code
Contact Person


Mobile No #
E-mail ID
* Partner Code (Six Digits) appears on your Purchase Order. Else please contact your SCM SPOC. Kindly provide self attestedcopy of
VAT/CST/LST/TIN/Excise/Service Tax and Exemption certificates for respective sites.
Request type( Please tick whichever is applicable )

** For replication request, circle/site details are mandatory, field no
14 & 15.
*** Cancelled cheque is not required for replication request

New Updation (for new vendor registration)

Replication of existing details updated in other site/circle**

Change of existing details
1) Beneficiary Name (Full) (Bank Account Holder)
2) Bank A/c No (Enclose cancelled Cheque***) (Mandatory)
3) Name of Bank 4) City of Bank
5) Account Type ( Please tick whichever is applicable ) SavingCurrent
6) RTGS IFSC
7) PAN No.(Enclose Self Attested PAN Copy) (Mandatory)
8) TAN Number ( For LTC )
9) PAN based Service Tax number(Enclose Self Attested
Copy) (Mandatory)

10) PAN based Excise Registration Number
11) WCT Number
12) CST Number

13) VAT / TIN Number

14) Circle/Site/vendor code on which details updated
15) Circle/Site/vendor code on which details need to be
updated

I/We here by declare that the particulars given on this form are correct and complete . If the payment transactions delayed
or not effected at all for reasons of incomplete or incorrect information , I/We will not hold your organization responsible
PLEASE PRINT DULY FILLED FORM ON YOUR LETTERHEAD
Signature of authorize person (self attested by
partner with company seal)
Name
Date

Bank Certification with seal( in the
absence of CTS cancelled cheque )

You might also like