Transcription of GOVERNMENT OF KERALA Treasury Savings Bank PAY-IN …
1 Form No: 4 GOVERNMENT OF KERALA Form No: 4 TRANSFER. Treasury Savings bank PAY-IN -SLIP for GOVERNMENT OF KERALA . TRANSFER Bills, Cheques, Drafts etc Treasury Savings bank PAY-IN -SLIP for Bills, Cheques, Drafts etc Particulars of the bill for adjustment* Particulars of the bill for adjustment*.. Treasury A/c No: .. Head of A/c .. Treasury Head of A/c .. Name & Address .. Ledger folio : .. Name & Address .. of the drawee ../ of the drawee .. Gross amount .. Gross amount .. `: .. Net amount .. Net amount .. Date of bill .. Date of bill .. A/c No: .. Paid to the CREDIT of the Savings bank Account of Sri /Smt.
2 Ledger folio : .. Rupees .. Paid to the Treasury Savings bank for credit of Savings bank Account of on realisation of the particulars overleaf Sri/Smt .. Chalan No: .. By .. Rupees .. Passing Official .. *Applicable in respect of r/o bills Passing official .. *The details need to be furnished only in respect of bills presented for adjustment .. Cut Here .. Form No: 4 GOVERNMENT OF KERALA Form No: 4 TRANSFER. Treasury Savings bank PAY-IN -SLIP for GOVERNMENT OF KERALA . TRANSFER Bills, Cheques, Drafts etc Treasury Savings bank PAY-IN -SLIP for Bills, Cheques, Drafts etc Particulars of the bill for adjustment* Particulars of the bill for adjustment*.
3 Treasury A/c No: .. Head of A/c .. Treasury Head of A/c .. Name & Address .. Ledger folio : .. Name & Address .. of the drawee ../ of the drawee .. Gross amount .. Gross amount .. `: .. Net amount .. Net amount .. Date of bill .. Date of bill .. A/c No: .. Paid to the CREDIT of the Savings bank Account of Sri /Smt .. Ledger folio : .. Rupees .. Paid to the Treasury Savings bank for credit of Savings bank Account of on realisation of the particulars overleaf Sri/Smt .. Chalan No: .. By .. Rupees .. Passing Official .. *Applicable in respect of r/o bills Passing official.
4 *The details need to be furnished only in respect of bills presented for adjustment PARTICULARS PARTICULARS. Drawee Amount Drawee Amount Rs Ps Rs Ps PARTICULARS PARTICULARS. Drawee Amount Drawee Amount Rs Ps Rs Ps
