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*

Rs.

P.

Name

 

 

 

 

 

 

Signature

 

 

 

 

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)

* (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.