BANK OF BARODA BANK OF BARODA
ANNEXURE – II PAYING – IN – SLIP FOR NEFT / RTGS Form No. 404
Jhokan Bagh, Jhansi
Branch_______________________ Jhokan Bagh, Jhansi
Branch___________________ 28.06.2023
Date______________________ Time of Receipt ____________
28.06.2023
Date ________________________ (FOR RTGS – AMOUNT MUST BE FOR ` 2 LACS OR MORE )
COUNTER FOI L Application for Electronic Funds Transfer to a customer of another Bank through RTGS/NEFT. (to be filled in by customer)
Sender’s a/c no. 07960400000431 Sender’s a/c no of base branch 07960400000431
Name of a/c holderParshuram Sanitary House Name of a/c holder (sender) Parshuram Sanitary House
NEFT / RTGS: NEFT / RTGS:
Favouring(payee) Name Favouring/beneficiary (Name)
Vectus Industries Limited
Vectus Industries Limited
______________________________________________________________________________
Bank: HSBC Bank Limited Receiving Bank Name: HSBC Bank Limited
Branch: 0 Receiving Branch Name: 0
IFS Code:HSBC0110005 Receiving Branch IFS Code: HSBC0110005
Beneficiary a/c no: VECTUSIN2102276 Beneficiary a/c no: V E C T U S I N 2 1 0 2 2 7 6
Beneficiary a/c type: Beneficiary a/c type: (SB/CA/OD/CC/NRE/Credit Card)/Remittance to Indo Nepal
Message for beneficiary (applicable for RTGS only)
Amount ` 581474 Amount ` 581474
Exchange ` Exchange `
Total amount ` 581474 Total amount ` 581474
Total amount in words Total amount in words Four Lakhs Ninety One Thousand Seventeen only
Four Lakhs Ninety One Thousand Beneficiary a/c no: V E C T U S I N 2 1 0 2 2 7 6
Seventeen only nd
( to be written 2 time as per RBI guidelines)
I /We request you to make the above remittance. It is being understood that the remittance is to be sent at my/our own risk and
Signature of Customer my/our responsibility and on the distinct understanding that no liability whatsoever is to attach to the Bank for any loss or
Tel/Mob No.__________________ damage arising or resulting from delay in transmission, delivery or non delivery of the message or for any mistake, exchange or
PAN ________________________ error in transmission or delivery thereof or in deciphering the message from whatsoever cause or from its misinterpretation when
received or from failure to properly identity the persons name. I/We also hereby undertake to refund to bank any over remittance,
which is made as per RBI RTGS/NEFT scheme.
Bank’s Seal 07960400000431
Please remit the amount as per above details by (i) debiting my/our SB/CA/OD/CC/NRE/ a/c No._________________________ with
Jhokan Bagh, JhansiBranch (ii) I/We herewith tender cheque No ______________ drawn on our a/c towards its cost
________________________
including Bank charge.
Sign. of Clerk/Cashier/Teller Signature of Customer Sign. of operator sign. of officer Sign. of officer
9935908375
Tel/Mob No._________________________. (who created mesg.) (who authorized) ( who verified)
PAN _______________________________.
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