Professional Documents
Culture Documents
Challan
(Applicant Copy)
(BARC Copy)
(Bank Copy)
DOB : 23/10/1991
DOB : 23/10/1991
DOB : 23/10/1991
BRANCH DETAILS
Branch
Name:
Branch
Code:
BRANCH DETAILS
Branch
Name:
Branch
Code:
BRANCH DETAILS
Branch
Name:
Branch
Code:
Journal No:
Journal No:
Journal No:
Date of
Remittance:
Application
Fee:
Bank
Charges if
any:
Total:
D D M MYY
Rs. 250/Rs.
Rs.
In Words:
Signature of the
Remitter
Date of
Remittance:
Application
Fee:
Bank
Charges if
any:
Total:
D D M MYY
Rs. 250/Rs.
Rs.
In Words:
Signature of the
authorised
Official with
Branch Seal
Signature of the
Remitter
Date of
Remittance:
Application
Fee:
Bank
Charges if
any:
Total:
D D M MYY
Rs. 250/Rs.
Rs.
In Words:
Signature of the
authorised
Official with
Branch Seal
Signature of the
Remitter
Signature of the
authorised
Official with
Branch Seal
https://www.i-register.in/barcoregengv15/frmChallanPrint.aspx
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