Form II - Challan to be filled in quadruplicate for Bank/PAO/CCI/Depositor (OBVERSE) - CCI (Manner Of Recovery Of Monetary Penalty) Regulations, 2011

FORM- II [See regulation 3(4)] Challan to be filled in quadruplicate for Bank/PAO/CCI/Depositor (OBVERSE) G.A.R.-7 [See Rule 26(1) of Central Government Account (Receipts and Payments) Rules, 1983] Please indicate Whether Civil Defence Railway Post and Telegraph Competition Commission of India Case No. .. Penalty(ies) imposed under section .. of the Competition Act, 2002 Challan of Money paid into Treasury/Sub-Treasury or State/Reserve Bank of India at . . To be filled by the remitter To be filled by the departmental Officer or the Treasury By whom Tendered Name (or designation and address of the enterprise/ person on whose behalf money is paid) Full Particulars of the remittance and or authority (if any) Amount Head of Account Account Officer by whom adjustable Order to the Bank Name Competition Commission of India, New Delhi Rs. P. Head 1475.00.105.05 1 [ Sub-Head 00 ] - Penalties Imposed by Competition Commission of India Pay and Accounts Officer (PAO), Ministry of Corporate Affairs Date Correct: Receive and grant receipt. (Signature and full designation of the officer ordering the money to be paid in) Signature Total* *(in words) Rupees To be used only in the case of remittances to the Bank through Departmental Officer of the Treasury Officer Received payment (in words) Rupees Treasurer Accountant Date Treasury Officer Agent or Manager (REVERSE) Particulars to be filled by the remitter Amount Rs. P. Cash Bank Draft/ Pay order (With details) ************** NOTES:- 1. Substituted vide Notification No. R-40007/Reg-Recovery/Noti/2021-CCI dated 16-02-2021 before it was read as, Sub Head-05