ELECTRONIC PAYMENT REQUEST FORMAT (NEFT/RTGS)
(TO BE FILLED IN CAPITAL LETTERS)
All Fields are Mandatory
EIP VENDOR CODE (Refer the PO to
know your vendor code)
Name of the Organization & …………………………………………………………
Complete postal address with
PIN Code & E-mail id. …………………………………………………………
…………………………………………………………
Contact No: STD Code
Phone No
Type of Organization Proprietary Partnership Firm (Attach
Partnership Deed)
Public Limited Private Limited Others
If, it is a Partnership Firm, please ensure that all the Partners sign in
this Format.
Bank Name: ……………………………………………………………………………………….
Full Bank A/C
No:
(Should not have any prefix or suffix with alphabets, words, hyphen, bar,
coma or full stop.)
Type of Account Current Cash Credit
Others
Please tick in the box Specify
Bank Branch Code:
(Nine digits MICR code
Appearing next to cheque no.) (Please attach a copy of
cancelled or blank cheque)
Bank Address: …………………………………………………………………
(Complete postal address)
…………………………………………………………………
Pin:
If your Bank’s branch is having Electronic payment facility (NEFT & RTGS),
please interact with your banker and furnish IFS Code in the box given
below. This is the easiest, reliable & fastest mode of payment and the fund
will be directly credited to your account. (RTGS takes 2-3 hours, NEFT same
day)
IFS Code (Eleven digits)
We hereby accept to receive our payment through Electronic Fund Transfer system.
We shall intimate to you immediately in case of any change in the above particulars.
(Name & Signature by Authorised Signatory with Seal)
Place:
Date:
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Please contact us at [email protected] for any further clarifications.
Courier the Original filled EFT format & cancelled Cheque to below mentioned address.
Larsen & Toubro Limited, SSC Accounts Payable,ECC Division,HQ Accounts,
Mount Poonamallee Road,Manapakam,Chennai-600089.
Ph : 044-22526616,6617,6662,6671,6673,6674 & 6675. Fax: 044-22526059.