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TO BE PAID THROUGH SYSTEM ONLY

PFMS Generated Print Payment Advice

Approval date in PFMS: 01 Jun 2023 Payment Advice No.: C052355051296
Expiry date of PPA PFMS: 11 Jun 2023 Advice Print Date : 01 Jun 2023
PAN No. :  TAN No. :  
Note For Branch: 
Contact Details BANK PFMS
Name: Shailesh Shah
Email : Shailesh.Shah@hdfcbank.com Helpdesk-pfms@gov.in
Phone No.: 9312845391 011-23343860
Note: 

To,
The Branch Head
   
HDFC BANK LTD
Kishanganj
   
We authorise the bank to debit our undernoted account maintained with the bank with batch amount and
credit the beneficiary(ies) [#3] as per ANNEXURE-I uploaded to bank's central system through PFMS O/o
CGA.
S
M
Bank Account No.
Total Amount of Debit : Rs33522.00
 50100477260767
PF

(Amount in words  :  Thirty-Three Thousand Five Hundred Twenty-Two )

No. Of Beneficiaries as per Annexure-
Batch No.  C052355051296
I.
Agency Seal
.................................................. ..................................................

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

Name - ________________________ Name - ________________________

Designation - ___________________ Designation - ___________________
Mobile No - ____________________ Mobile No - ____________________
 
To, U M S MAHSOOL KATHALBARI
MDM
Ref: Account No.50100477260767/ Payment Advice Number
 
C052355051296
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 :  3 Amount (in Rs.):33522.00
Date & Time :  

HDFC BANK LTD Branch Seal Branch Authorized Official

Agency to enter date of delivery in PFMS using option | E-Payment => PPA Submission Status

Public Financial Management 01/06/2023 08:11

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ANNEXURE -I
(All page to be stamped and initial and last page to be signed in FULL with stamp)
Payment Advice No.: C052355051296
Name of Amount(In
Sr.No. PFMS Txn ID Account Number: IFSC/IIN/MICR Aadhaar
Beneficiary Rs.)
JAI SRI BALAJI
BHARAT GAS      
1     6387.00
GRAMIN C052355051279 xxxxxxxxxxxx0069 BARB0RAIKHA
VITRAK
   
2 KASHIF REZA   BKID0004638     20571.00
C052355051280 xxxxxxxxxxxx2507
   
3 Mrs Hazra Khatoon   SBIN0061241     6564.00
C052355051278 xxxxxxxxxxxx7172
Total Amount(Rs)  33522.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.

S
M
PF

Public Financial Management 01/06/2023 08:11

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