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APPENDIX 21 A
 
APPENDIX 21 A

FORMAT FOR DEPOSIT OF APPLICATION FEE
 
Bank Receipt Number and Date

Receipt of Cash paid into the Central Bank of India at ..............................

TO BE FILLED IN BY THE REMITTER
To be filled in by the department officer of the bank
By whom tendered Name, designation and address of the person on whose behalf money is paid
Full particulars
of the remittance and of authority (if any)
 Amount Head of account Accounts officer by whom adjustable Order to be Bank*
Name    
Rs.   P.
1453 foreign trade export promotion – minor head – 102 import licence application fee
Pay and Accounts officer..........(Name of station)
Date, correct receipt and grant receipt (signature and full description of the officer ordering the money to be paid in)
Signature  
* (in words) Rupees
* To be used only in the case of remittance to the Bank through Departmental Officer

Cashier Accountant Date Bank officer

NOTE:-

1.Particulars of money tendered should be given below.
2. In case where direct credits at Bank are permissible the Column "Head of Account" will be filled in by the Bank Officer or Pay and Accounts Officer as the case may be, on the receipt of Bank's daily statement

Particulars Amount
Coins

Notes (with details)

Cheque (with details)

Total Rs
Rs.
P.


 


                                        

 
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