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Procedure

APPENDIX 21A

Document type
Procedure
Reference no.
A
Dated

FORMAT FOR DEPOSIT OF APPLICATION FEE

APPENDIX 21A

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



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.


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