Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 12-01-2019 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Benificiary/Remittance Details Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
Date: 12-01-2019
State Bank MOPS Reference No. CPM2359148
Benificiary/Remittance Details
Beneficiary: Railway Recruitment Board, Secunderabad
State Bank MOPS Reference No. CPM2359148
Merchant Reference No: 480135708
Beneficiary: Railway Recruitment Board, Secunderabad
Name of Applicant: Tamil Vanan S
Merchant Reference No: 480135708
Reg No: 3180108457
Name of Applicant: Tamil Vanan S
Rs P
Reg No: 3180108457
Collection Amount 500 00
Comission 59 00 Rs P
Total ( Five Hundred And Fifty Nine Rupees Only) 559 00 Collection Amount 500 00
Comission 59 00
Details of Cash Rs p Total ( Five Hundred And Fifty Nine Rupees Only) 559 00

Cash

Amount
Total Rs
Cash Notes Rs P

Instructions for Depositor: This is not an e-receipt. *2000

*500
(To be Filled in by the Bank) *200
*100
Journal No:
*50
*20
Branch Name: *10

Branch Code: Deposit Date:

Coins
Total Rs
Branch Stamp

Authorised Signatory Signature of the Depositor

Space for Bank use

Branch Stamp