Challan No. ______________
(Treasury Rule 92/Receipt & Payment rules 26) Challan of amount paid into the....................... ...........................(Code No............................) | Accounting Collectorate......................... ...........................(Code No. 04..............) |
Name of the Bank/Branch with Code Number) Name of the Focal Point Bank P.N.B. ECE House C. Place, N. Delhi-1 (Code No 0301120) | Division --------------(Code No..................) Range------------(Code No_N.A) |
Full Particulars of remittance | Head of accounts & major head (indicate against the appropriate Minor Head) | Accounting Code No. | Amount Tendered | |
By Cash | By Cheque/Draft Pay Order etc. |
Date___________________________ (To be filled by the Bank) Received payment (in word) Stamp Rupee__________________________ Banks Receipt Stamp: Name of the Bank_________________ | ______________________________________________________ Signature of the tenderer Space for Focal Point Bank indicating the date, amount credited to Government Account. Signature of the Authorised Officer of the Bank |