GOVERNMENT OF TELANGANA GOVERNMENT OF TELANGANA GOVERNMENT OF TELANGANA

TRIPLICATE DUPLICATE ORIGINAL

STO : Warangal Urban TREASURY/PAO Code: 1 2 0 1 STO : Warangal Urban TREASURY/PAO Code: 1 2 0 1 STO : Warangal Urban TREASURY/PAO Code: 1 2 0 1

Treasury Challan No : 0200136088 Treasury Challan No : 0200136088 Treasury Challan No : 0200136088

DDO Code: 12010903121 DDO Code: 12010903121 DDO Code: 12010903121
Major Head : 8 0 1 1 Major Head : 8 0 1 1 Major Head : 8 0 1 1
Sub-Major Head : 0 0 Sub-Major Head : 0 0 Sub-Major Head : 0 0
Minor Head : 1 0 5 Minor Head : 1 0 5 Minor Head : 1 0 5
Group Sub-Head: 0 0 Group Sub-Head: 0 0 Group Sub-Head: 0 0
Sub-Head : 0 1 Sub-Head : 0 1 Sub-Head : 0 1
Detailed Head : 0 0 0 Detailed Head : 0 0 0 Detailed Head : 0 0 0
Sub-Detailed Head : 0 0 0 Sub-Detailed Head : 0 0 0 Sub-Detailed Head : 0 0 0
Non-Plan/Plan : N Non-Plan/Plan : N Non-Plan/Plan : N
Charged/Voted : V Charged/Voted : V Charged/Voted : V
Non-Contingency/Contingency : N Non-Contingency/Contingency : N Non-Contingency/Contingency : N
Amount Rs. : 1000 Amount Rs. : 1000 Amount Rs. : 1000
in words Rupees : RUPEES ONE THOUSAND ONLY in words Rupees : RUPEES ONE THOUSAND ONLY in words Rupees : RUPEES ONE THOUSAND ONLY
Purpose : Remittance of TSGLI Purpose : Remittance of TSGLI Purpose : Remittance of TSGLI
Remitter's Name & Address: EXECUTIVE ENGINEER TSMSIDC DIVISION Remitter's Name & Address: EXECUTIVE ENGINEER TSMSIDC DIVISION Remitter's Name & Address: EXECUTIVE ENGINEER TSMSIDC DIVISION
WARANGAL H.No. 2-11-324/1, Beside TB WARANGAL H.No. 2-11-324/1, Beside TB WARANGAL H.No. 2-11-324/1, Beside TB
Hospital, Ha Hospital, Ha Hospital, Ha
Remitter's Signature: Remitter's Signature: Remitter's Signature:
Head of Account verified Head of Account verified Head of Account verified
Dated 04-06-2020 S.T.O/T.O Dated 04-06-2020 S.T.O/T.O Dated 04-06-2020 S.T.O/T.O
Received Rs Received Rs Received Rs
S.T.O/Bank Manager S.T.O/Bank Manager S.T.O/Bank Manager
by transfer through RTGS/NEFT................. by transfer through RTGS/NEFT................. by transfer through RTGS/NEFT.................
Bank Branch Code : Bank Branch Code : Bank Branch Code :

Note:Seperate challan should be used for each detailed head Note:Seperate challan should be used for each detailed head Note:Seperate challan should be used for each detailed head
Note: This Challan does not need enfacement of the treasury Note: This Challan does not need enfacement of the treasury Note: This Challan does not need enfacement of the treasury