APPENDIX 21 A
FORMAT FOR
DEPOSIT OF APPLICATION FEE
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 Rs. P. |
Head
of account |
Accounts
officer by whom adjustable |
Order to be Bank* |
|
|
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. |