Mob No: 9997858538

9720209014

ANJALI MOBILE WORLD

Add- 61/18 Naulakha, Sadar Bazar,
Gwalior Road, Agra-282001.
Deals In: All Types of New Mobile Hand Set & Accessories Etc.
Application for Receipt of Payments through NEFT
(National Electronic Funds Transfer)

Date: / / .
The Manager,
HDFC Bank Ltd.
Lodha - I Think Techno Campus, Building - Alpha,
2nd Floor- Office, Kanjur Marg.
Mumbai.
.

Dear Sir/Madam,

I/We hereby authorize HDFC Bank Ltd. to credit the payment due to me/ us into my/our Bank Account
(details of my Bank Account is as given below) through the National Electronic Funds Transfer (NEFT)
facility offered by RBI. As a proof of confirmation on below mentioned account, maintained in my
Individual/Firm/Company’s name, I, the undersigned, is enclosing herewith a cancelled cheque and copy
of PAN card for your reference.

My / Our Bank Details:

Beneficiary Name

Beneficiary Bank Account No.

Name of the Bank and Branch

IFSC Code (Contact your Bank and obtain

the same)
Recipient’s E-mail ID / Mobile No.
(if available)

Yours Sincerely,

________________________
Signature of Individual/Partner/
Authorised Representative

(Affix Firm/Company Rubber Stamp)

Encl: Cancelled cheque.
Copy of Pan Card