Ecs Authorization Cum Banker’s Certificate (to Be Filled By Supplier/firm

ECS authorization cum Banker’s Certificate (To be filled by Supplier/Firm and certified by Banker) Date:____/_____/_______ To,

For EDP use only Vendor Id:________________

The CDA Pachpedi Road, Jabalpur,M.P-482001

Contractor Id:__________________

Tel No:0761-2608012/13/Tele-Fax No:0761-2603253 E-mail:cda-jbl.hub.nic.in Dear Sir, I/We hereby declare that I/We are suppliers to the Army Units under the payment jurisdiction of office of the CDA Jabalpur. I / We hereby express our willingness to accept all payments against supplies etc by the office of the CDA Jabalpur by ECS. In order to facilities the ECS payment, the ECS mandate as below is hereby given. Firm/supplies details

Bank details

Name of the Firm (Full postal address or stamp of the

*Bank Name:

supplier/Firm) *Branch Name *IFSC Code *Account Type (Savings/Current/Cash Credit) *Account No. (As appearing on the Cheque book) Ledger No. & L.F.No. Date of effect

I / We hereby declare that the particulars given above are correct and complete and if the transaction is delayed or not effected at all for reason of incorrect information. I/ We would not hold office of the CDA responsible. I/ We am/ are aware of the ECS (Electronic Clearing Scheme) and I / We agree to discharge my / our responsibility expected of me as a participant under the scheme.

Yours truly, Signature & Name of Sole/ First Account Holder:_____________________________________________ Signature & Name of Second/ Joint Account Holder___________________________________ (Please Note: To be signed by all Account Holders a per mandate on the Saving A/ c / C.A. /C.C with the Bank)

Certified that the particulars finished above are correct as per our records.

Seal / Stamp of the Bank

* Important: Mandatory information. . Without this information Bills cannot be passed through ECS.

Name & Designation of the Authorised Bank Signatory with dated Signature