Annexure

RECEIPT CHALLAN

(Form PTR 16, Rule 107 of PTR Volume)

(For use of Treasury only)
 Serial No.: __________

Date:___________
(To be filled in by the tenderer)  
By Whom Tendered : ______________________________________________________________
Purpose of  Deposit : ______________________________________________________________
Amount (in figures) Rs. _______ (in words) Rs. ____________________________
 
Treasury / Sub Treasury Code

 

 

 

 

 

( Name of the Treasury/ Sub Treasury)
DDO Code

 

 

 

 
(Designation of the DDO)
(whose behalf Money deposited)
Plan/ Non Plan/CSS
 
  (“P” for Plan, “N” for Non-Plan , “S” for CSS)
Major Head Sub-Major Head Minor Head Sub Head
       
   
       
   
(Complete Head of Account)

 

 

(Signature of Tenderer)

-------------------------------------------------------------------------------------------

(For use of Department of Treasury Only)

 Order to the Bank 

Correct

 Receipts and Gross Receipt
 

 Department Officer or DTO/ TO  (With Seal)

 -------------------------------------------------------------------------------------------

 Received Rs. _______________ (in words) ___________________________________

 Authorised Signatory of the Bank

 (Details of the Money Deposited)

 

Drawee Bank Branch Cheque/ Draft No. Dated Cash Details Rupees Paise
1.         Rs.  1000 X      
2.         Rs. 500 X      
3.         Rs. 100 X      
4.         Rs. 50 X      
5.         Rs. 20 X      
6.         Rs. 10 X      
7.         Rs. 5 X      
8.         Rs. 2 X      
9.         Rs. 1 X      
10.         Coins      
TOTAL    

 Notes

 1. A Separate Challan may be used for every complete Head of Account.

2.  Incomplete / Incorrect Challan or Challan not verified by the Department are liable to be rejected by the Bank.