tender no: hpc/nz/bahadurgarh/bulk/pol/2012-13/1 technical bid

Tender No. Hindustan Petroleum Corporation Limited Page 72 of 94
Tender for Road Transportation of Bulk POL products: MS
/HSD and Branded fuels
Speciman Bank Mandate
PARTY’S LETTER HEAD
TO : Hindustan Petroleum Corporation Ltd
Panipat Regional office
PANIPAT
Dear Sirs,
Attachment No.9
The following is a confirmation / updation of my Bank account details and I hereby affirm my / our
choise to opt for payment of amount due to me / us under various contracts thry Electronic mode.
I understand that Hindustan Petroleum Corporation Limited also reserves the right to send the
payments due to me / us by a cheque / Demand Draft Banker’s Cheque or Electronic mode.
A. SUPPLIER / CONTRACTOR DETAILS :
1. Transporter Name
2. Transporter Code
3. Transporter Address
4. Controlling Office Name
5. PAN NO.
6. E-mail ID
B PARTICULARS OF BANK ACCOUNT
1. Bank Name
2. Branch Name and Branch Code
3. Bank Address
4. 9 Digit MICR No. Of Bank and
Branch as appearing in cheque
5. Account type
6. Account Number
7. IFSC Code of Branch (for RTGS)
8. IFSC Code of Branch (for NEFT)
I hereby confirm that the particulars given above are correct and complete and also undertake to
promptly advise any changes to the above details to HPCL. If the transaction is delayed or not
effected for reasons of incomplete or incorrect informtion or banking delays, I shall not hold
Hindustan Petroleum Corporation Limited responsible. I also agree for printing of the bank details
on the cheque or DD if the payment is effected by Cheque / DD.
Name ( in capital ) of Transporter :
Signature of the Authorised person :
Official Rubber Stamp :
Date :
Name of Bank Official :
Signature of Authorised Bank Official :
Official Rubber Stamp :
Date
Seal Signature of Tenderer
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