6/15/2021

TO BE PAID THROUGH SYSTEM ONLY

PFMS Generated Print Payment Advice

Approval date in PFMS: 15 Jun 2021 Payment Advice No.: C062113986721
Expiry date of PPA PFMS: 25 Jun 2021 Advice Print Date : 15 Jun 2021
PAN No. : AABAB8344A TAN No. :  
Note For Branch: 
Contact Details BANK PFMS
Name:
Email : Helpdesk-pfms@gov.in
Phone No.: 011-23343860
Note: 

To,
The Branch Head
   
The Motihari Central Co-operative
Bank Ltd. Motihari
THE MOTIHARI CENTRAL CO-
OPERATIVE BANK LIMITED
   

S
We authorise the bank to debit our undernoted account maintained with the bank with batch amount and
credit the beneficiary(ies) [#6] as per ANNEXURE-I uploaded to bank's central system through PFMS O/o
M
CGA.
Bank Account No.
PF

Total Amount of Debit : Rs533250.00

 000715004100001
(Amount in words  :  Five Lakhs Thirty-Three Thousand Two Hundred Fifty )
No. Of Beneficiaries as per
Batch No.  C062113986721
Annexure-I.
Agency Seal
.................................................. ..................................................

(Sign by Authorized Signatory) (Sign by Authorized Signatory)

Name -
________________________ Name - ________________________
Designation -
___________________ Designation - ___________________
Mobile No -
____________________ Mobile No - ____________________
 
To,
BARASHANKAR PACS
Ref: Account No.000715004100001/ Payment Advice Number
 
C062113986721
We confirm having received the captioned advice of credit(s) for payment today for further processing as per arrangement
of bank on integrated PFMS-Bank payment system.
No. Of Beneficiaries :  6 Amount (in Rs.):533250.00
Date & Time :  

The Motihari Central Co-

Branch Seal Branch Authorized Official
operative Bank Ltd. Motihari
Agency to enter date of delivery in PFMS using option | E-Payment => PPA Submission Status

Public Financial Management 15/06/2021 11:24

1/2
6/15/2021

ANNEXURE -I
(All page to be stamped and initial and last page to be signed in FULL with stamp)
Payment Advice No.: C062113986721
Name of Amount(In
Sr.No. PFMS Txn ID Account Number: IFSC/IIN/MICR Aadhaar
Beneficiary Rs.)
DIPENDAR    
1   IBKL01075MC     49375.00
KUMAR C062113986737 xxxxxxxxxxxx8239
GAURI SHANKAR    
2   IBKL01075MC     49375.00
SIN C062113986733 xxxxxxxxxxxx8234
KOSHAL    
3   IBKL01075MC     108625.00
KISHORE SINGH C062113986735 xxxxxxxxxxxx6293
MANIBHUSAN    
4   IBKL01075MC     88875.00
SINGH C062113986736 xxxxxxxxxxxx2212
PRASHANT
   
5 KUMAR   IBKL01075MC     148125.00
C062113986734 xxxxxxxxxxxx6202
KASHYAP
RAM ISHWAR    
6   IBKL01075MC     88875.00
PURI C062113986732 xxxxxxxxxxxx1201
Total Amount(Rs)  533250.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.

S
M
PF

Public Financial Management 15/06/2021 11:24

2/2