APPENDIX - 6

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Bank
Receipt
Number and
Date

Receipt of Cash paid into the Central Bank of India at ........................

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|
TO BE FILLED IN BY THE REMITTER
|
To be filled in by the
|
|
|
Department Officer of the
|
|
|
Bank
|
|-----------+----------------------+---------------------+-----------------------------------------------------------+
|By whom
| Name, Designation
| Full particulars of |
AMOUNT |
Head of |
Accounts
| Order to the
|
|tendered
| and address of
| the remittance and |
|
Account | Officer by whom | Bank*
|
|
| the person on whose | of authority.
|
|
|
adjustable |
|
|
| behalf money is paid | (if any )
| Rs.
P. |
|
|
|
|-----------+----------------------+---------------------------------------------------------------------------------+
|Name
|
|
|
|
|1453 Foreign|Pay and Accounts |Date correct
|
|
|
|
|
|
|Trade Export|Officer
|receipt and
|
|
|
|
|
|
|Promotion - |................_|grant receipt
|
|
|
|
|
|
|-Minor Head |(Name of Station)|(Signature and |
|
|
|
|
|
|- 102 Import|
|full designation|
|
|
|
|
|
|Licence
|
|of the officer |
|
|
|
|
|
|Application |
|ordering the
|
|
|
|
+-----------+fee
|
| money to be
|
|Signature |
|
Total* |
|
|
|
|paid in )
|
|--------------------------------------------------------------------------------------------------------------------+
|
|
|*(in words) Rupees
* To be used only in the case of |
|
remittance to the Bank through |
|
Departmental Officer
|
+--------------------------------------------------------------------------------------------------------------------+
Received payment (in words) Rupees
Cashier
NOTE :

Accountant

Date

Bank Officer

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
---------------------------------------------------------------------------------------+------------+----------------|
Rs.
|
P.
Coins
|
|
|
|
|
|
Notes(with details)
|
|
|
|
Cheques (with details)
|
|
|
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|
|
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Total Rs.
|
|
|
|
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App.21