7. Providing services for Industrial Canteen at ONGC Mangalore ...

APPENDIX VIVENDOR FORM FOR ELECTRONIC FUNDS TRANSFER PAYMENT & TAX DETAILSPlease use additional copies of this form if your Company has additional Branches/ Divisionsdealing with OMPLTo: Finance DeptONGC Mangalore Petrochemicals Ltd., 2 nd floor, Muda Building, Urwa Stores,Mangalore. (Karnataka), Pin Code-575006, INDIAThe following is a confirmation/ updation of our bank account details and I/we hereby affirm ourchoice to opt for payment of amounts due to us under various contracts through electronic mode.1. Vendor/ Contractor particulars:(i) Name of the Company:Existing Vendor Code ( if given by(ii) OMPL)(ii) Complete Postal Address:(iii) Pin code/ ZIP code:Telephone nos. (with country/area(iv) codes):(v) Fax No.: (with country/area codes):(vi) Cell phone Nos.:(vii) Contact persons /Designation:(viii) Email IDs:2.Bank Account Particulars:(i) Name of the Account holder:(ii) Complete Bank Account No. (forElectronic Funds Transfer):(iii) Account type :(iv) Bank Name :(v) Bank Branch:(vi) Bank Branch Contact Nos.:11 digit IFS Code (for Bank Branches(vii) in India)(viii Swift Code (for Bank Branches not in) India):3. Tax Registration numbers: *(Please fill in the applicable fields and attach relevant proofs)(i) Income Tax PAN no.:(ii) VAT TIN /Local Tax Registration No.:(iii) State of VAT Registration:(iv) CST Registration No.:(v) Excise Registration No.:(vi) Excise Range:(vii) Excise Division:(viii) Excise Commissionarate:(ix) Service Tax Registration No.:(x) ECC No.:Central GST No. (if available/(xi) applicable):(xii) Local GST No. (if available/Page 46 of 74