APPENDIX 21A
FORMAT FOR DEPOSIT OF APPLICATION FEE
| Bank Receipt Number and Date |
|---|
Receipt of Cash paid into the Central Bank of India at ..............................
| TO BE FILLED IN BY THE REMITTER | To be filled in by the department officer of the bank |
| By whom tendered | Name, designation and address of the person on whose behalf money is paid | Full particulars of the remittance and of authority (if any) | Amount
Rs. P. | Head of account | Accounts officer by whom adjustable | Order to be Bank* |
Name
Signature | | | | | 1453 foreign trade export promotion-minor head-102 import licence application fee | Pay and Accounts officer..........(Name of station) | Date, correct receipt and grant receipt (signature and full description of the officer ordering the money to be paid in) |
| * (in words) Rupees | * To be used only in the case of remittance to the Bank through Departmental Officer |
| Cashier | Accountant | Date | Bank officer |
NOTE:-
1. Particulars of money tendered should be given below.
2. In case where direct credits at Bank are permissible the Column "Head of Account" will be filled in by the Bank Officer or Pay and Accounts Officer as the case may be, on the receipt of Bank"s daily statement
| PARTICULARS | AMOUNT |
Coins
Notes (with details)
Cheque (with details)
Total Rs. | Rs. | P. |
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