Transcription of General Insurance Employees Co-operative Credit …
1 3172 Phone : 0522 - 4066531 General Insurance Employees Co-operative Credit society Ltd. IInd Floor , Nawal Kishore Road, Lucknow. RECURRING DEPOSIT FORM 1. Name of the Applicant : .. 2. Mobile No. : .. 3. CBS Bank A/c No. with Bank & Branch Name ::.. 4. Name of Company : .. 5. Present place of posting (BO/DO/RO) & Office Address ::.. 6. Home Address ::.. 7. Amount of Recurring Instalment : Rs.. Per Month 8. Period of Recurring Deposit : .. Months 9. Name of Nominee : .. Relationship .. I hereby authorise the .. to deduct a sum of Rs.. per month towards RECURRING DEPOSIT ACCOUNT from my salary .. to .. or as advised by the society . Full Name .. Signature of Applicant .. Dated at .. This .. day of .. Emp. No.. PRE RECEIPTED PAYMENT / ADJUSTMENT VOUCHER Plaese issue a crossed Dated.
2 Voucher No.. favouring Sri/Smt.. Membership No.. DEBIT ACCOUNTS AMOUNTRs. No. Interest. No. TotalCREDIT ACCOUNTS AMOUNTRs. P. Total NET PAYABLE Received Crossed Cheque/DD for Rs.. Cheque No.. Dated .. Bank .. Prepared By .. Receipant s Signature Chairman / Secretary
