[ Shipper Letter Head ]
BANK ACCOUNT REGISTRATION FORM I.E.C.NO. ______________________________________________
IFS CODE : ____________________________________________
BANK ACCOUNT NO. : __________________________________
BANK NAME : _________________________________________
BANK ADDRESS : ______________________________________
[ FOR DRAWBACK PURPOSE ] I DECLARE THAT THE ABOVE PARTICULARS ARE CORRECT.
For_______________________
Name & Designation of exporter Stamp
Date__________________________
CERTIFIED THAT THE ABOVE DETAILS ARE CORRECT
[ Signature of Bank Branch Manager along with the official Seal ]