Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 02-06-2016 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Beneficiary/Remittance Details Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
State Bank Collect Reference No. DU48113348 Date: 02-06-2016

Beneficiary: DELHI DEVELOPMENT AUTHORITY Beneficiary/Remittance Details

Category: DDA Recruitment 2016 State Bank Collect Reference No. DU48113348
Last Date of Payment: 17-06-2016 16:00 Beneficiary: DELHI DEVELOPMENT AUTHORITY
Remitter sarad mishra Category: DDA Recruitment 2016
Rs Last Date of Payment: 17-06-2016 16:00
Collection Amount 500.00 Remitter sarad mishra
Comission 58.00 Rs
Total (Rupees Five Hundred Fifty Eight Only) 558.00 Collection Amount 500.00
Comission 58.00
Details of Cash / Cheques Rs p
Total (Rupees Five Hundred Fifty Eight Only) 558.00
Mode of Payment (Choose Either Cash / Cheque)

Total Rs Cash PAN:

Please quote your PAN for Cash remittance >= Rs. 50,000
Instructions for Depositor: This is not an e-receipt. After payment , please visit www.onlinesbi.com > 'State Bank
Collect' and click on the hyperlink at the bottom of the page to generate the e-receipt. Amount
Cash Notes Rs P
*1000
(To be Filled in by the Bank)
*500
Journal No: DU48113348 *100
*50
*20
Branch Name:
*10
Branch Code: Deposit Date:
Coins
Branch Stamp Total Rs

Cheque
Authorised Signatory Cheque No: Cheque Date:
Drawee Bank: State Bank of India (other bank cheques not accepted under PAP)
Branch:

Signature of the Depositor

Space for Bank use

Branch Stamp