Appendix 'F': Indian Naval Academy Joyce George Uzhuthuval Puthenpurayil, Kizhathadiyoor P.O., Pala - 686574 9048139795

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APPENDIX 'F'

NEFT MANDATE FORM

1. Vendor Details
A. Name of Firm : INDIAN NAVAL ACADEMY

B. Name of contact person : JOYCE GEORGE


C. Address : UZHUTHUVAL PUTHENPURAYIL ,KIZHATHADIYOOR P.O. ,PALA -686574
D. Contact NO : 9048139795
E. PAN No : BFKPG7983J
2. Particulars of Bank account
A. Account title : SAVINGS BANK
B. Name of Bank : STATE BANK OF INDIA
C. Name of the branch : PALA
Address : ST.GEORGE ARCADE ,PALA P.O.- 686575

Telephone no : 04822215605
D. 11 digit IFSC CODE : SBIN0008657
E. 9 Digit MICR code number of the
bank and branch appearing on the
MICR Cheque issued by the bank: 686002302
F. Type of the account (S.B or current): SAVINGS BANK ACCOUNT
G. Account number (as appearing on
the cheque book) : 20134358931
(please attach a blank cancelled cheque or
photocopy of a cheque)

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

(..........................................)
Date: Signature of Account holder
Certified that the particulars furnished above are correct as per our records.

Signature of the authorised Bank Manager with Rubber stamp


Date:

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