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Customer's CoPY

KBRAGBANK
/.:count Number

Please use separate deposit slips for loeal cheques outstation cheques and cash 2. All cheques accepted for deposit will be credited subject to final clearance and payment

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Date : ,:'i..'

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Drawee Bank &

Branch
Account Nu,-nu

Cheque Number & Date

Cash

Denominations

Amount

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1000x 500x
1

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t. ' 1,. '.,

00x

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I. Amount (ln words)

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50x

20x
'10x

6
Depositor's Signature Teller stamp and

5X

Total Amount