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 or 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 whome
adjustable | Order to the
Bank* |
Name
Signature | |
Total*
| | | 1453 Foreign Trade Export Promotion Minor Head 102 Import Licence Application Fee | Pay and Accounts officer..........(Name of Station) | Date correctreceipt and grant receipt(signature and full designation of the officer ordering the money to be paid in) |
| | |
| *(in words) Rupees * To be used only in the case ofremittance to the Bank through
Departmental Officer
|
Received payment (in words) Rupees
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 Coloumn
"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)
Cheques (with details)
Total Rs. | Rs. | P. |
|