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Ecs Format

The document is an Electronic Clearing Service (Credit Clearing) Form for investors, customers, or vendors to receive payments through a credit clearing mechanism. It requires personal and bank account details, including name, address, contact information, PAN number, and bank account specifics. The form includes a declaration of correctness and responsibility for the provided information, along with signature fields for both the investor and an authorized bank official.

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Dikshant Sharma
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0% found this document useful (0 votes)
35 views1 page

Ecs Format

The document is an Electronic Clearing Service (Credit Clearing) Form for investors, customers, or vendors to receive payments through a credit clearing mechanism. It requires personal and bank account details, including name, address, contact information, PAN number, and bank account specifics. The form includes a declaration of correctness and responsibility for the provided information, along with signature fields for both the investor and an authorized bank official.

Uploaded by

Dikshant Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure 2

Electronic Clearing Service (Credit Clearing) Form


(Investors/Customers/Vendors option to receive payments through Credit Clearing Mechanism)

Particulars of Investor/Customer/Vendor
Name of Investor/Customer/Vendor
(As appears on Pass Book of bank)
Address of Investor/Customer/Vendor

Contact Details of Investor/Customer/Vendor


(Office number, phone no. and e-mail)

PAN No. of Investor/Customer/Vendor

Particulars of Bank Account


Bank Name

Branch Name

Address of Bank

Telephone No. of Bank

Account Type
(S.B. Account / Current Account or any other)
Account Number
(as appears on the Cheque Book)
MICR No.
(9 digits code number of the Bank and Branch appearson
the cheque issued by the bank)
IFS Code of Bank

I hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at allfor 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 responsibility expected of me as a participant under the scheme.

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

Date Date

Signature of Investor/Customer/Vendorwith Signature of Authorized bank official withcommon


common seal of the organization seal

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