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  • Dub 5198522

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    Anand Babu
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    This document is a pre-acknowledgement payment form for a payment through the State Bank of India. It provides details of the payment such as the reference number, beneficiary, category of payment, last payment date, remitter, collection amount, commission, and total amount due. It also lists the cash and cheque amounts being used for the payment and provides instructions for the depositor to generate an e-receipt after making the payment. The form requires signatures from the depositor and authorized bank signatory.

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    This document is a pre-acknowledgement payment form for a payment through the State Bank of India. It provides details of the payment such as the reference number, beneficiary, category of payment, last payment date, remitter, collection amount, commission, and total amount due. It also lists the cash and cheque amounts being used for the payment and provides instructions for the depositor to generate an e-receipt after making the payment. The form requires signatures from the depositor and authorized bank signatory.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    40 views1 page

    Dub 5198522

    Uploaded by

    Anand Babu
    This document is a pre-acknowledgement payment form for a payment through the State Bank of India. It provides details of the payment such as the reference number, beneficiary, category of payment, last payment date, remitter, collection amount, commission, and total amount due. It also lists the cash and cheque amounts being used for the payment and provides instructions for the depositor to generate an e-receipt after making the payment. The form requires signatures from the depositor and authorized bank signatory.

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    © All Rights Reserved
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    of 1

    Depositor Copy Branch Copy

    Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

    Date: 22-06-2019 Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
    Date: 22-06-2019
    Beneficiary/Remittance Details
    Beneficiary/Remittance Details
    State Bank Collect Reference No. DUB5198522
    State Bank Collect Reference No. DUB5198522
    Beneficiary: PRINCIPAL DAV C P SCHOOL
    Beneficiary: PRINCIPAL DAV C P SCHOOL
    Category: FEES
    Category: FEES
    Last Date of Payment: 31-03-2020 23:00
    Last Date of Payment: 31-03-2020 23:00
    Remitter Justina Santosh Kumar
    Remitter Justina Santosh Kumar
    Rs
    Collection Amount 6,910.00 Rs
    Comission 29.50 Collection Amount 6,910.00
    Total (Rupees Six Thousand Nine Hundred Thirty Nine and Paise Five Only) 6,939.50 Comission 29.50
    Total (Rupees Six Thousand Nine Hundred Thirty Nine and Paise Five Only) 6,939.50
    Details of Cash / Cheques Rs p Mode of Payment (Choose Either Cash / Cheque)

    Cash PAN:

    Please quote your PAN for Cash remittance >= Rs. 50,000
    Total Rs
    Amount
    Instructions for Depositor: This is not an e-receipt. After payment , please visit www.onlinesbi.com > 'State Bank Cash Notes Rs P
    Collect' and click on the hyperlink at the bottom of the page to generate the e-receipt. *2000
    *500
    (To be Filled in by the Bank)
    *200
    Journal No: DUB5198522 *100
    *50
    *20
    Branch Name: *10

    Branch Code: Deposit Date:


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

    Signature of the Depositor

    Space for Bank use


    Branch Stamp

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