Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 11-02-2022 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: 11-02-2022
State Bank MOPS Reference No. CPABKFAVW8
Benificiary/Remittance Details
Beneficiary: Punjab Government
State Bank MOPS Reference No. CPABKFAVW8
Merchant Reference No: 1917520
Beneficiary: Punjab Government
Rs P
Merchant Reference No: 1917520
Collection Amount 5000 00
Commission 0 00 Rs P
Total ( Five Thousand Rupees Only) 5000 00 Collection Amount 5000 00
Commission 0 00
Details of Cash / Cheques Rs p Total ( Five Thousand Rupees Only) 5000 00
Mode of Payment (Choose Either Cash / Cheque)
Cash

Total Rs Amount
Cash Notes Rs P
Instructions for Depositor: This is not an e-receipt.
*2000
(To be Filled in by the Bank) *500

Journal No: *200

*100
*50
Branch Name: *20
*10
Branch Code: Deposit Date:

Coins
Branch Stamp
Total Rs

Cheque
Authorised Signatory
Cheque No:
Cheque Date:
Drawee Bank & Branch: State Bank of India

Branch :

Signature of the Depositor

Space for Bank use

Branch Stamp