ANNEXURE - 2 BANK ACCOUNT DETAIL FORM (Use this form to provide the requested information) Vendor Code: Vendor Name: ASD ADVISORY SERVICES Vendor Address with Pin code: AA 67,PARFULLA KANAN (WEST),KRISHNAPUR,BAGUIATI KOLKATA - 700101
S. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Information Bank A/c details for payment through EFT Name of the Account SUMIT DEY Holder(in block letters) Name of Bank BONDHON BANK Bank Account No. 10180006875791 Bank Branch & Address SALT LAKE SECTOR V, KOLKATA – 700091 MICR Code 700750064 IFSC Code BDBL0001011 PAN Number BVAPD9282K Email ID
[email protected] Name of the Contact SUMIT DEY Person Land Line Number Mobile Number 7557068546 / 6289303942 VAT Registration No. Service Tax Registration Attach a Cancelled Cheque / Photocopy of Cheque Photocopy of VAT Registration Certificate/ Service Tax Registration Certificate (as applicable) Photocopy Of PAN
I/we, hereby confirm that the “Bank A/c details for payment through EFT” provided by me above and other details are accurate and I authorize Vodafone to make electronic payments to the above mentioned account. Trust you will find the above in order. Thanking you Yours faithfully, Name: ______________________________ Signature: ___________________________ (With Company Stamp)
Place: Date: Send the completed and signed form to the following address within 3 days from the receipt of mail/letter.
Information required for electronic payment through NEFT/RTGS Below mentioned are our bank details, any changes in the same will be communicated to you immediately.
BENEFICIARY DETAILS 1
Vendor Name :
2
Vendor Address :
ASD ADVISORY SERVICES
Add Line-1
AA-67,Prafulla Kanan (West)
Add Line-2
Krishnapur, Baguati, Kalkata
Add Line-3 Add Line-4
Pin Code
700101
Email Id:-for forwarding payment advice 3
[Recommend Group email ID-]
[email protected]
BENEFICIARY BANK & ACCOUNT DETAILS 4
Beneficiary Name
SUMIT DEY
5
Account Type
CURRENT
6
Account Number
10180006875791
7
Branch Name
SALT LAKE SECTOR V
8
Branch Add : Add Line-1
DN-32, SECTOR-V, SALT LAKE CITY,
Add Line-2
KOLKATA
Add Line-3 Add Line-4
Pin Code
700091
9
NEFT CODE *
BDBL0001011
10
RTGS CODE *
BDBL0001011
* If NEFT & RTG Codes are same, request you to specify the same in both the above fields [Sr.no 9 & 10 above]. Vodafone Idea Ltd & its group companies reserve the right to either continue or discontinue this facility without any prior notice. Vodafone Idea Ltd & its group companies are not responsible for any wrong data as stated above. Retrieval of payments made to wrong persons due to wrong data is outside the control of Vodafone Idea Ltd & its group companies. _____________________________________________________________________________________ We certify that above Beneficiary Bank & Account details provided by us are true & correct.
_____________________
______________________
Authorized Signatory Company Name:
Bank Branch Sign & Stamp Name:
Beneficiary Sign & Stamp Date: ASD ADVISORY SERVICES AA 67,PRAFULLA KANAN (W) KRISHNAPUR BAGUIATI,KOLKATA 700101
Date :