FORMAT FOR DEPOSIT OF APPLICATION FEE

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..... 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 ac .....

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..... fficer 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 (w .....

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