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Capital First Limited

Registration cum Electronic Payment System Mandate Form for Direct credit to bank account through
National Electronic Funds Transfer (NEFT)

Vendor Code: Date :15.1.2016

1) Particular of Vendor / Customer’s


Name STEEL HYPERMART INDIA PVT LTD

Address:
NO 2/1A NANJAPPA ROAD, SHANTINAGAER , BANGALORE
(If mentioned Address is incorrect, please provide
correct Address and enclose address proof)
Email Address SINGHI@STEELHYPERMART.IN

PAN No. (If mentioned PAN is incorrect ,please provide correct AAICS3289E
PAN No & enclose PAN Card copy)
Service Tax No. (If mentioned Service Tax is incorrect ,please NIL
provide correct No & enclose registration copy of the same, if
applicable)

VAT No. (If mentioned VAT No is incorrect ,please provide NA


correct No & enclose registration copy of the same, if applicable)

Whether, your organisation is falls under the No


definition of “Micro, Small and Medium Enterprises If, Yes please Enclose the relevant certificate
Development Act, 2006”
Name of contact person MUKESH SURANA

Mobile number of contact person 8746877775

2) Particulars of Bank account


a) Name of the Bank HDFC BANK LTD

b) Branch and Address


K H ROAD BRANCH

c) Branch IFS Code No (11 Digit Code given by RBI)


HDFC0001206

d) 9-Digit code number of the bank and branch


appearing on the MICR cheque issued by Bank 560240048
e) Type of the account with code S.B., Current or CURRENT ACCOUNT
Cash Credit
f) Account number (as appearing on the cheque 12062020004533
book)
g) Attach a Original blank cancelled cheque for Original Cancelled cheque / Banker’s certificate
verification of the above particulars or submit the
bankers’ certificate as given format below.
I /We hereby declare that the particulars given above are correct and complete. I /We indemnify Capital
First Limited against the losses, which may be caused because of furnishing incorrect details.

Sign:

Name & Designation : DIRECTOR

Company Name & Seal :

Dated: 15.1.2016

For Bankers’ use

The details mentioned above are correct as per our record.

Bankers Seal with

Signature of the Authorised person

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