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APPENDIX F NEFT MANDATE FORM Annexure A ARMY NO 1. Beneficiary Details A. Name of contact person B. Address C. Contact NO 2. Particulars of Bank account A. Account title B. Name of Bank C. Name of the branch Telephone no D. 11 digit IFSC CODE E* 9 Digit MICR code number of the bank and branch appearing on the MICR Cheque issued by the bank F* Type of the account S*B or current G* Account number as appearing on the cheque book please attach a blank cancelled cheque or photocopy of a cheque I here by declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information I would not hold the user institution responsible. I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme. Date Signature of Account holder Certified that the particulars furnished above are correct as per our records. Signature of the authorised Bank Manager with Rubber stamp FORMAT FOR SUBMISSION OF BANK DETAILS OF PBOR s TO PAO Latest format of Bank details received by Record Office Regt No Name Unit Bank name Bank A/C no ANNEXURE B Bank branch 11 digit IFSC code 9 digits MICR code. Address C. Contact NO 2. Particulars of Bank account A. Account title B. Name of Bank C. Name of the branch Telephone no D. 11 digit IFSC CODE E* 9 Digit MICR code number of the bank and branch appearing on the MICR Cheque issued by the bank F* Type of the account S*B or current G* Account number as appearing on the cheque book please attach a blank cancelled cheque or photocopy of a cheque I here by declare that the particulars given above are correct and complete. 11 digit IFSC CODE E* 9 Digit MICR code number of the bank and branch appearing on the MICR Cheque issued by the bank F* Type of the account S*B or current G* Account number as appearing on the cheque book please attach a blank cancelled cheque or photocopy of a cheque I here by declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information I would not hold the user institution responsible. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information I would not hold the user institution responsible. I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme. I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme. Date Signature of Account holder Certified that the particulars furnished above are correct as per our records. Date Signature of Account holder Certified that the particulars furnished above are correct as per our records. Signature of the authorised Bank Manager with Rubber stamp FORMAT FOR SUBMISSION OF BANK DETAILS OF PBOR s TO PAO Latest format of Bank details received by Record Office Regt No Name Unit Bank name Bank A/C no ANNEXURE B Bank branch 11 digit IFSC code 9 digits MICR code. .

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