Sample electronic funds transfer letter / authorization form to bank for payment
EFT-RE
REV.F/13:14:000 EFT REQUEST FORM
REQUEST FOR TRANSFER OF MONEY
REMITTER BRANCH BENEFICIARY BANK & BRANCH BANK CODE (9 DIGIT MICR CODE) (as shown in Cheque Book) BENEFICIARY NAME BENEFICIARY ACCOUNT NO. ACCOUNT TYPE (2 DIGIT CODE) (as shown in Cheque Book) REMITTER NAME & A/C NO. AMOUNT | : : : : : : : : | STATE BANK OF INDIA, MUMBAI ICICI BANK 14/1 NARIMAN POINT -------------- ROCKAT SALES LTD CC---------------- 13 ABC CORPORATION LTD ---------------------- RS. (RUPEES LACS ONLY) |
PLEASE DEBIT OUR ACCOUNT A/C NO. -------------AND EFFECT THE TRANSFER.
ABC CORPORATION LTD AUTHORISED SIGNATORY |
DATE : 25.05.13
-------------------------- FOR OFFICE USE ONLY -----------------------------------------
EFT EFFECTED ON :
AUTHORISED SIGNATORY