iia «;@, Canara Bank Application for National Electronic Fund Transfer/ Real-Time Gross Settlement Systems

(NEFT/RTGS)
To,
Date 2 1 1 2 2 0 2 4
The Branch Manager

Basaveshwara Road Branch PAN NO.

Dear Sir, ”To be provided by Canara Bank Customer
Please remit through NEFT/RTGS a sum of 1,00,000/-(Rupees in words) One Lakhs Only
as per details give below :
cash Cheque 287055
* In case of cash please fill in the pay-in-slip
* To be filled by the Applicant in CAPITAL LETTERS

DETAILS OF APPLICANT (REyITTER)

Account Number Cheque 1 2 8 0 0 1 3 0 9 2 2 2
Number Remitter’s Name Cheque Date
Address 2 1 1 2 2 0 2 4
LEI Code:
LEI eHpiry date: A D M E N T E R P R I S E S
N O. 4 C, H O S A K O T E I N D U S T R I A L
A R E A, H O S A K O T E 5 6 2 1 1 4

D D M M y x Mobile / Other Number

9 8 4 4 0 2 4 7 7 1
DETAILS OF BENEFICIARY
Beneficiary’s Name Account
Number Reconfirm Account F O O D C O R P O R A T I O N O F I N D I A
Number Bank Name 3 3 6 1 8 8 6 8 7 9 0
IFSC Code (11 digit)
LEI Code: 3 3 6 1 8 8 6 8 7 9 0
LEI eHpiry date:
Branch Address S B I N 0 0 1 2 7 0 5

S U B R A M A N Y A ARCADE BRANCH,
B A N G A L O R E
1 6 1 2 2 4

Sender to Receiver Information (if any) :

Terms and Conditions
This transfer is valid for a single transaction.The fund transfer will be governed by the Terms and Conditions given on our website www.canarabank.comDue

Declaration
I/we authorise Canara Bank to recover charges as may be applicable by debiting my account as mentioned above.
I/We understand that as per the RBI Circular dated October 14, 2010, transfer of funds through electronic mode will be executed only on the basis of
the account number of the beneficiary provided while initiating the transaction. Name will NOT be considered as a criteria for providing credit. In
understand that this facility is available only at select locations and banks covered under Electronic Funds Transfer facility offered by RBI

Customer Signature(s)

Signature Signature Signature

Name Name Name
*(Primary Applicant) *(Joint Applicant 1) *(Joint Applicant 2)
Customer Acknowledgement
Date
Bank Seal
We acknowledge receipt of NEFT / RTGS instruction(s). Reference no.
With Date b Time
Branch : Name and Signature of Bank Official of Request
 iia «;@, Canara Bank Application for National Electronic Fund Transfer/ Real-Time Gross Settlement Systems
(NEFT/RTGS)
To,
Date 17.12.2024
The Branch Manager

Basaveshwara Road Branch PAN NO.

Dear Sir, ”To be provided by Canara Bank Customer
Please remit through NEFT/RTGS a sum of 4,71,810/- (Rupees in words) Four Lakhs Seventy One Thousand Eight Hundred Ten Only
as per details give below :
cash Cheque 287053
* In case of cash please fill in the pay-in-slip
* To be filled by the Applicant in CAPITAL LETTERS

DETAILS OF APPLICANT (REyITTER)

Account Number Cheque 1 2 8 0 0 1 3 0 9 2 2 2

Number Remitter’s Name Cheque Date 1 7 1 2 2 0 2 4
Address A D M E N T E R P R I S E S
LEI Code:
LEI eHpiry date: N O. 4 C, H O S A K O T E I N D U S T R I A L
A R E A, H O S A K O T E 5 6 2 1 1 4

Mobile / Other Number 9 8 4 4 0 2 4 7 7 1

DETAILS OF BENEFICIARY
Beneficiary’s Name Account F O O D C O R P O R A T I O N O F I N D I A
Number Reconfirm Account 3 3 6 1 8 8 6 8 7 9 0
Number Bank Name
IFSC Code (11 digit) 3 3 6 1 8 8 6 8 7 9 0
LEI Code: S B I N 0 0 1 2 7 0 5
LEI eHpiry date:
Branch Address S U B R A M A N Y A ARCADE BRANCH,
B A N G A L O R E

Sender to Receiver Information (if any) : COST

Terms and Conditions

This transfer is valid for a single transaction.The fund transfer will be governed by the Terms and Conditions given on our website www.canarabank.comDue

Declaration
I/we authorise Canara Bank to recover charges as may be applicable by debiting my account as mentioned above.
I/We understand that as per the RBI Circular dated October 14, 2010, transfer of funds through electronic mode will be executed only on the basis of
the account number of the beneficiary provided while initiating the transaction. Name will NOT be considered as a criteria for providing credit. In
understand that this facility is available only at select locations and banks covered under Electronic Funds Transfer facility offered by RBI

Customer Signature(s)

Signature Signature Signature

Name Name Name
*(Primary Applicant) *(Joint Applicant 1) *(Joint Applicant 2)
Customer Acknowledgement
Date
Bank Seal
We acknowledge receipt of NEFT / RTGS instruction(s). Reference no.
With Date b Time
Branch : Name and Signature of Bank Official of Request
FOOD CORPORATION OF INDIA
33618868790 IFSC Code SBIN0012705, State Bank of
India, Subramanya Arcade Branch
BANGALORE
 Branch PAN NO.

33618868790 IFSC Code SBIN0012705, State Bank of

Branch PAN NO.
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NF 959/08/2022/SESHAASAI

Branch PAN NO.

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