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TO BE PAID THROUGH SYSTEM ONLY

PFMS Generated Print Payment Advice

Approval date in PFMS: 04 Jul 2023 Payment Advice No.: C072301724519


Expiry date of PPA PFMS: 14 Jul 2023 Advice Print Date : 05 Jul 2023
PAN No. : TAN No. :
Note For Branch:
Contact Details BANK PFMS
Name: Mr. Purna Chandra soren
Email : pc.soren@indianbank.co.in Helpdesk-pfms@gov.in
Phone No.: 044-25330460/9561262985 011-23343860
Note:

To,
The Branch Head

INDIAN BANK
JAYANKONDAM

S
We authorise the bank to debit our undernoted account maintained with the bank with batch amount and credit
M
the beneficiary(ies) [#3] as per ANNEXURE-I uploaded to bank's central system through PFMS O/o CGA.
Bank Account No. 6358951025 Total Amount of Debit : Rs38419.00
PF

(Amount in words : Thirty-Eight Thousand Four Hundred Nineteen )


No. Of Beneficiaries as per
Batch No. C072301724519
Annexure-I.
Agency Seal
.................................................. ..................................................

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


Name -
________________________ Name - ________________________
Designation -
___________________ Designation - ___________________
Mobile No -
____________________ Mobile No - ____________________

To, A/C NO.7 VILLAGE PANCHAYAT STAFF


SALARY A/C PERIYAVLAYAM
Ref: Account No.6358951025/ Payment Advice Number C072301724519
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.):38419.00

Date & Time :

INDIAN BANK Branch Seal Branch Authorized Official


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

Public Financial Management 05/07/2023 01:39

1 of 2 05-07-2023, 13:39
Firefox https://pfms.nic.in/ImplementingAgency/FundsExpenditure/FundsEx...

ANNEXURE -I
(All page to be stamped and initial and last page to be signed in FULL with stamp)
Payment Advice No.: C072301724519
Name of Amount(In
Sr.No. PFMS Txn ID Account Number: IFSC/IIN/MICR Aadhaar
Beneficiary Rs.)
1 ANBAZHAGAN N IDIB000J035 4430.00
C072301718971 xxxxxxxxxxxx3918
2 CHOLAN K IDIB000J035 27608.00
C072301718973 xxxxxxxxxxxx2168
3 R GEETHA IDIB000J035 6381.00
C072301718972 xxxxxxxxxxxx3130
Total Amount(Rs) 38419.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.

S
M
PF

Public Financial Management 05/07/2023 01:39

2 of 2 05-07-2023, 13:39

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