Challan for payament of Service Tax, Interest, Penalty etc.

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..... hellip;…………………………….. (code No.) Accounting Collectorate (Code No…………………….) Name of the Bank/Branch with Code No. …………………………………. Division …………&hel .....

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..... p;………………………………………………………… (Code No. …………………………………. ) By whom tendered …………………………&hel .....

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..... ip;… Signature of the tenderer (To be filled by the Bank) Received payment (in word) Rupee……………………………………………….. Space for Focal Point Bank indicating the date, amount credited to Government Account. Signature of the Authorised Officer of the Bank Bank's .....

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