Indian Overseas Bank ___________________ Branch (Code______) / ../ 2012 CBS Credit : Director of Government Examinations, Chennai -6.

Branch : College Road, Chennai -6. Code :1423 SB A/c No : 142301000012166 Rupees......
NAME : REGISTER NO :

Indian Overseas Bank

______________________ Branch (Code______) /../ 2012

CBS
Credit : Director of Government Examinations, Chennai -6. Branch : College Road, Chennai -6. Code :1423 SB A/c No : 142301000012166 Rupees......
NAME : REGISTER NO :

Rs. .
TRANSACTION ID :

P.

Amount Charges

TRANSACTION ID :

Rs. . Amount Charges Total

P.

DEPOSITERS SIGNATURE : NAME & ADDRESS : MOBILE / TELEPHONE NO :

Total

Cashier / Clerk Cashier / Clerk Dy.Manager / Manager

This counterfoil is not valid unless signed by an official of the Bank in addition to the cashier in case of deposit by Cash.

Dy.Manager / Manager

Notes

Amount Rs. P.

Drawee Bank / Branch

Cheque No.

Amount Rs. No.

Drawee Bank / Branch

Cheque Number

Amount Rs. P.

x1000 x500 x100 x50 x20 x10 x5 x2 x1 Coins Total