DEPOSIT SLIP / pecee He®eera

SAVINGS / ye®ele DEPOSIT SLIP / pecee He®eera Date / efoveebkeÀ ë D D M M Y Y Y Y

Bank Deposited in Branch /
Bank CURRENT / ®eeuet
Date / efoveebkeÀë pecee keÀlee& MeeKee keÀe veeceë ACCOUNT NO. / Keelee mebK³ee
Account holder's Branch /
KeeleeOeejkeÀ keÀer MeeKee ë
Saving/Current Account No./ (ye®ele/®eeue) Keelee mebK³ee
CREDIT CARD NO. / ke´sÀef[ì keÀe[& mebK³ee

CREDIT CARD NO. / ke´sÀef[ì keÀe[& mebK³ee PAN NO. of Account Holder* / KeeleeOeejkeÀ keÀer Hewve mebK³ee.* 1) CONTACT NO. / 1) otjYee<e mebK³ee 2) CONTACT NO./2) otjYee<e mebK³ee

Name of Account Holder/ Keelesoej keÀe veece Name of Account Holder / Keelesoej keÀe veece

ICICI/RSPPG/V1.0/0611/PP
PARTICULARS / efJeJejCe DENO/ cegu³e Jeie& ? / ª. Ps./ Hew. BANK / yewQkeÀ BRANCH / MeeKee CHEQUE NO./ ®ewkeÀ mebK³ee DENO/ cegu³e Jeie& PIECES
? / ©. Ps. / Hew.
veieo pecee nsleg

PIECES / He´efle He´efle

2000 x

veieo pecee nsleg

2000 x

pecee nsleg
500 x 500 x
100 x 100 x

CHEQUE DEPOSIT / ®ewkeÀ

50 x 50 x
CASH DEPOSIT /

20 x 20 x

CASH DEPOSIT /
10 x 10 x
5x 5x
OTHERS/ OTHERS/
(Dev³e) Rupees in words / kegÀue jkeÀce (MeyoesW cesW) (Dev³e)
TOTAL / cee$e / ONLY TOTAL / kegÀue
Rs. in words / kegÀue jkeÀce (MeyoesW cesW) FOR OFFICE USE / keÀe³ee&ue³e GHe³eesie nsleg SIGNATURE OF DEPOSITOR /
TRANSACTION ID./ OFFICER'S SIGN./ VERIFYING OFFICER / peceekeÀlee& kesÀ nmlee#ej
keÀe³e&J³eJenej mebK³ee DeefOekeÀejer kesÀ nmlee#ej He´ceeefCele DeefOekeÀejer kesÀ nmlee#ej
CHEQUE(S) SUBJECT TO REALISATION / ®ewkeÀ (®ewkeÀeW) keÀer pecee Yegieleeve He´eefHle kesÀ DeOeerve nw~
Please mention your Account No. & Name behind the cheque. Note: Please use seperate deposit slip for CASH DEPOSIT, LOCAL, OUTSTATION & ICICI BANK CHEQUES. veesìë ke=ÀHe³ee vekeÀo pecee, mLeeveer³e yeenjer Deewj DeeF& meer DeeF& meer DeeF& yewQkeÀ ®ewkeÀesW nsleg Deueie-Deueie pecee Heef®e&³eesW keÀe GHe³eesie keÀjsW~
ke=ÀHe³ee DeHevee Keelee mebK³ee Deewj veece ®ewkeÀ kesÀ efHeís efueKes~ For Cash Deposit of Rs. 10 Lacs and above, customer has to furnish source of funds separately. ©. 10 ueeKe SJeb DeefOekeÀ keÀer veieo pecee Hej, ie´enkeÀ Oeveeiece kesÀ m$eesle keÀe GuuesKe keÀjsW~
OFFICER'S SIGN./ * For Cash Deposits of Rs. 50,000/- & more, Please mention your PAN No. Please update PAN No. in your account. ©. 50,000/- SJeb DeefOekeÀ keÀer vekeÀo pecee Hej ie´enkeÀ DeHeveer Hewve mebK³ee keÀe GuuesKe keÀjsW, Keeles cesW Hewve mebK³ee DeÐeleve keÀje³esW~
Customer should pay/deposit cash at the designated counters only.
DeefOekeÀejer kesÀ nmlee#ej pecee jmeero kesÀ Üeje Yegieleeve kesÀJeue veieo keÀeGbìj Hej ceev³e nesiee~ 1000180858
Customers should pay/deposit cash at the designated counters only. pecee jmeero kesÀ Üeje Yegieleeve kesÀJeue veieo keÀeGbìj Hej ceev³e nesiee~