CHALLAN NO.

CHALLAN OF CASH PAID INTO THE   Treasury/ Sub- Treasury  

                                                                       

 

   To be filled in by the remitter                                  To be filled in by the Departmental     

                                                                                     Officer or the Treasury

By whom Tendered Name

Name or Designation & address of the person on whose behalf money is paid

Full particulars of the remittance & authority

(if any)

     Amount

 

Head of Account

Rs.

P.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( In words)

 

Signature:

Date        :

                                                                                                                                        

 

Received Payment                            Date………..                          Treasury Officer/Agent

       Treasurer                              Accountant