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TO BE PAID THROUGH SYSTEM ONLY

PFMS Generated Print Payment Advice

Approval date in PFMS: 06 Dec 2023 Payment Advice No.: C122309357790
Expiry date of PPA PFMS: 16 Dec 2023 Advice Print Date : 06 Dec 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

KAITHAL

We authorise the bank to debit our undernoted account maintained with the bank with batch amount and
credit the beneficiary(ies) [#1] as per ANNEXURE-I uploaded to bank's central system through PFMS O/o
CGA.
S
M
Bank Account No.
Total Amount of Debit : Rs5655.00
50100482656061
PF

(Amount in words : Five Thousand Six Hundred Fifty-Five )

No. Of Beneficiaries as per Annexure-I. Batch No. C122309357790
Agency Seal
.................................................. ..................................................

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

Name - ________________________ Name - ________________________

Designation - ___________________ Designation - ___________________
Mobile No - ____________________ Mobile No - ____________________

To, SMC GPS NO 4 KAITHAL SS

ZBSA
Ref: Account No.50100482656061/ Payment Advice Number
C122309357790
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 : 1 Amount (in Rs.):5655.00
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 06/12/2023 10:16

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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.: C122309357790
Name of Amount(In
Sr.No. PFMS Txn ID Account Number: IFSC/IIN/MICR Aadhaar
Beneficiary Rs.)
BANSHI RAM
BHAGWAN DASS
1 PUNB0024800 5655.00
PROP RAJIV C122309357791 xxxxxxxxxxxx1389
KUMAR
Total Amount(Rs) 5655.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.

S
M
PF

Public Financial Management 06/12/2023 10:16

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