CUSTOMS PREVENTIVE COMMISSIONERATE,VIJAYAWADA

 

Authorization for payment of refund amount directly to Bank Account

I.E.C. No. _______________ PAN No. _________________.

 

M/s ______________________________

Address: __________________________

__________________________________

__________________________________

 

E-mail address:

Bank Account No.: __________________

 

Bank Name: ______________________

 

Bank Address: ______________________

 

11 digit alphanumeric IFS Code : ________________

 

I declare that the above particulars are correct. I authorize payment of refund amount for my refund claims filed at ______________________ Custom House to my above mentioned Bank Account through NEFT / RTGS after deduction of Bank’s service charges at the rate of 0.09% and applicable NEFT / RTGS charges as per RBI guidelines.

 

Name of the Authorised signatory /
Representative of the Importer

Signature :

Date:

Place:

Certified that the above details are correct.

Signature of Bank Branch Manager along with the official Seal

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