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  • EFT Detail Submission Form Word 97 Format0.1

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    nani3388
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    This document is a form for updating key partner information (KYP) with Bharti Airtel and its subsidiaries. It requests information such as the partner code, principal place of business addresses, bank account details for electronic funds transfer including account number, IFSC code, account holder name, bank name and branch. It also requests submission of self-attested copies of tax registration documents. The partner declares that the information provided is correct and acknowledges that any delays or failures in payments due to incomplete or incorrect information will not hold the company responsible.

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    This document is a form for updating key partner information (KYP) with Bharti Airtel and its subsidiaries. It requests information such as the partner code, principal place of business addresses, bank account details for electronic funds transfer including account number, IFSC code, account holder name, bank name and branch. It also requests submission of self-attested copies of tax registration documents. The partner declares that the information provided is correct and acknowledges that any delays or failures in payments due to incomplete or incorrect information will not hold the company responsible.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    51 views1 page

    EFT Detail Submission Form Word 97 Format0.1

    Uploaded by

    nani3388
    This document is a form for updating key partner information (KYP) with Bharti Airtel and its subsidiaries. It requests information such as the partner code, principal place of business addresses, bank account details for electronic funds transfer including account number, IFSC code, account holder name, bank name and branch. It also requests submission of self-attested copies of tax registration documents. The partner declares that the information provided is correct and acknowledges that any delays or failures in payments due to incomplete or incorrect information will not hold the company responsible.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Form No EFT 1.

    0 ,2013
    Date :- _____________
    BhartiAirtel Ltd || BhartiTelemedia Ltd || BhartiHexacom Ltd || BhartiAirtel Services Ltd || BhartiTelesonic Ltd
    Courier Desk (EFT Details)C/o Master Team ( Please tick which ever is applicable )
    Airtel Center, Lower Ground Floor,
    Plot No : 16 , UdyogVihar , Phase - IV,
    Gurgaon : 122001

    Subject :-Updation of Key critical information (KYP-Know Your Partner )
    Dear Sir / Madam
    This is to certify that we are associated~ with Airteland our PartnerCode* reference in your record is ___________ .
    Our principal place(s) of business is at following address(s) :
    Site(s) Name (1) (2) (3)
    Complete
    Address

    City
    state
    Pin Code
    Contact Person


    Mobile No #
    E-mail ID
    * Partner Code (Six Digits) appears on your Purchase Order. Else please contact your SCM SPOC. Kindly provide self attestedcopy of
    VAT/CST/LST/TIN/Excise/Service Tax and Exemption certificates for respective sites.
    Request type( Please tick whichever is applicable )

    ** For replication request, circle/site details are mandatory, field no
    14 & 15.
    *** Cancelled cheque is not required for replication request

    New Updation (for new vendor registration)

    Replication of existing details updated in other site/circle**

    Change of existing details
    1) Beneficiary Name (Full) (Bank Account Holder)
    2) Bank A/c No (Enclose cancelled Cheque***) (Mandatory)
    3) Name of Bank 4) City of Bank
    5) Account Type ( Please tick whichever is applicable ) SavingCurrent
    6) RTGS IFSC
    7) PAN No.(Enclose Self Attested PAN Copy) (Mandatory)
    8) TAN Number ( For LTC )
    9) PAN based Service Tax number(Enclose Self Attested
    Copy) (Mandatory)

    10) PAN based Excise Registration Number
    11) WCT Number
    12) CST Number

    13) VAT / TIN Number

    14) Circle/Site/vendor code on which details updated
    15) Circle/Site/vendor code on which details need to be
    updated

    I/We here by declare that the particulars given on this form are correct and complete . If the payment transactions delayed
    or not effected at all for reasons of incomplete or incorrect information , I/We will not hold your organization responsible
    PLEASE PRINT DULY FILLED FORM ON YOUR LETTERHEAD
    Signature of authorize person (self attested by
    partner with company seal)
    Name
    Date

    Bank Certification with seal( in the
    absence of CTS cancelled cheque )

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