r r r

BANK COPY STUDENT’S COPY SCHOOL COPY

DATE...................................................................................... DATE...................................................................................... DATE......................................................................................

CREDIT: BUDINI SEC . SCHOOL CREDIT: BUDINI SEC . SCHOOL CREDIT: BUDINI SEC . SCHOOL
STANBIC BANK IGANGA BRANCH STANBIC BANK IGANGA BRANCH STANBIC BANK IGANGA BRANCH

A/C NO. 9030005627825 A/C NO. 9030005627825 A/C NO. 9030005627825

CREDIT : ST. GONZAGA GONZA BUDINI CREDIT : ST. GONZAGA GONZA BUDINI CREDIT : ST. GONZAGA GONZA BUDINI
SENIOR SEC. SCHOOL SENIOR SEC. SCHOOL SENIOR SEC. SCHOOL
CENTENARY BANK IGANGA BRANCH CENTENARY BANK IGANGA BRANCH CENTENARY BANK IGANGA BRANCH

A/C NO. 4810600017 A/C NO. 4810600017 A/C NO. 4810600017

NAME............................................................................... NAME............................................................................... NAME...............................................................................

CLASS......................................TREM............................ CLASS......................................TREM............................ CLASS......................................TREM............................

NOTES SHS NOTES SHS NOTES SHS

50,000/= 50,000/= 50,000/=

20,000/= 20,000/= 20,000/=

10,000/= 10,000/= 10,000/=

5,000/= 5,000/= 5,000/=
Teller’s Teller’s Teller’s
2,000/= 2,000/= 2,000/=
stamp & stamp & stamp &
signature 1,000/= signature 1,000/= signature 1,000/=

500/= 500/= 500/=

200/= 200/= 200/=
50/= 50/= 50/=
BANK CHARGE 3000/= BANK CHARGE 3000/= BANK CHARGE 3000/=

TOTAL TOTAL TOTAL

Amount in words:.................................................................. Amount in words:.................................................................. Amount in words:..................................................................

....................................................................................................... ....................................................................................................... .......................................................................................................
Paid in by.................................................................................... Paid in by.................................................................................... Paid in by....................................................................................
To.................................................................................................. To.................................................................................................. To..................................................................................................