Itchellan Kerala
Itchellan Kerala
Itchellan Kerala
CHALAN FORM T.R. 12 ( See Rules 102 (c) & 124 of Kerala Treasury Code) ORIGINAL
GOVERNMENT OF KERALA
CHALAN FORM T.R. 12 ( See Rules 102 (c) & 124 of Kerala Treasury Code) DUPLICATE
GOVERNMENT OF KERALA
CHALAN FORM T.R. 12 ( See Rules 102 (c) & 124 of Kerala Treasury Code) TRIPLICATE
Chalan for Payment of Money into the District Treasury / Sub Treasury State Bank of India / State Bank of Travancore At.................................................................... Date: Date: Computer Seq: No: Head of Account:
Maj : Smj: Min:
TDS
Sub: Subsub:
Chalan for Payment of Money into the District Treasury / Sub Treasury State Bank of India / State Bank of Travancore At............................................................... Computer Seq: No: Date: Date: Head of Account:
Maj : Smj:
Chalan for Payment of Money into the District Treasury / Sub Treasury State Bank of India / State Bank of Travancore At.................................................. Computer Seq: No: Date: Date:
Subsub:
(Dept)
(DDO)
1
Min: Sub:
Head of Account:
Maj : Subsub: Smj: Min: Sub:
(Dept)
(DDO)
*DDO Code:
Purpose of remittance & authority, if any
(Dept)
(DDO)
By whom paid &Name & address of the person on whose behalf money is paid
Amount in Rs
By whom paid &Name & address of the person on whose behalf money is paid
Amount in Rs
*SDO Code:
By whom paid &Name & address of the person on whose behalf money is paid Purpose of remittance & authority, if any
Amount in Rs
Total Total Total in words Signature of Remitter: Total in words Signature of Remitter: Received Rs ............................ (Rupees................................................................................. .............................................only) Date:........./........./............ Seal Received Rs ............................ (Rupees................................................................................... ...........................................only) Date:........./........./............ Seal Total 15 Total in words Signature of Remitter: Received Rs ............................ (Rupees.................................................................... ..........................................................only) Date:........./........./............ Seal
Signature of Treasurer/ Cashier Treasury Officer / Bank Manager Note: 1.The seal / stamp of the Treasury / Bank of collection shall be affixed. 2. If remittance is in official capacity (*SDO/DDO),write corresponding code in the column provided. 3. If loan repayment of SDO, write installment number in purpose column.
Signature of Treasurer/ Cashier Treasury Officer / Bank Manager Note: 1.The seal / stamp of the Treasury / Bank of collection shall be affixed. 2. If remittance is in official capacity (*SDO/DDO),write corresponding code in the column provided. 3. If loan repayment of SDO, write installment number in purpose column.
Signature of Treasurer/ Cashier Treasury Officer / Bank Manager Note: 1.The seal / stamp of the Treasury / Bank of collection shall be affixed. 2. If remittance is in official capacity (*SDO/DDO),write corresponding code in the column provided.
Currency Notes Rs 500. Rs 100. Rs 50. Rs 20. Rs 10. Rs 5. Rs 2. Rs 1. Total Notes.. Coins Rs 10. Rs 5. Rs 2. Rs 1. Ps 50 Ps 25 Ps 20 Ps 10 Ps 5 Ps 2 Ps 1 Total Coins.. Grand Total..
No.
Amount in Rs
Ps
Currency Notes Rs 500. Rs 100. Rs 50. Rs 20. Rs 10. Rs 5. Rs 2. Rs 1. Total Notes.. Coins Rs 10. Rs 5. Rs 2. Rs 1. Ps 50 Ps 25 Ps 20 Ps 10 Ps 5 Ps 2 Ps 1 Total Coins.. Grand Total..
No.
Amount in Rs
Ps
Currency Notes Rs 500. Rs 100. Rs 50. Rs 20. Rs 10. Rs 5. Rs 2. Rs 1. Total Notes.. Coins Rs 10. Rs 5. Rs 2. Rs 1. Ps 50 Ps 25 Ps 20 Ps 10 Ps 5 Ps 2 Ps 1 Total Coins.. Grand Total..
No.
Amount in Rs
Ps