i'orrenr

E3 POWER

Customer Bank Details

(Refund Through direct credit in Bank)
To:
Torrent Power Limited, Ahmedabad Date:

Sr. No. Description Details

1 Service No:

2 Registered Customer Name:

3 Bank Details:

Account Type - Current/Savings

Bank Account Number

Bank Account Holder Name

IFSC Code

MICR Code

Bank Name

Bank Branch

Address

4 Contact number:(Mobile No)*

5 E.maiIID*

IjWe state that the information furnished above is true and best of our knowledge
Yours Faithfully

Customer Signature
Note:
1 Please attach copy of cheque/cancelled cheque alongwith application.
2 In case name not printed on cheque.vou are requested to submit copy of front page
of cheque book.
3 Payments to be made to registered consumer.
'Checked By: Passed By: