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FORM B
See sub-paragraph (3) of paragraph 4)

Name of Agent……………………….. Paper Token No……………..
Code No. ………………………….

PUBLIC PROVIDENT FUND SCHEME, 1968
Challan for deposit of money into Government Account

……………………...........................
(Name of Accounts Office)
Account No………………………........ Date: ………………..
Name of Subscriber:……………. ....... Ledger………………
Address…………………………….......

 

Amount Amount(in figures) Head of Govt. A/C.

      Cash

100 x 

50 x

20 x

10 x

5 x

*Cheque/Draft/
Postal Order

 

Subscription
Loan Repayment

 

‘806 Public Provident Fund'

 

Interest on Loan
Fee

   

'049-Interest Receipts' –
'Others Receipts'

TOTAL

       

 

Bank/PO on which drawn *Number

______________________________________________________________________

Rupees(in words) …………………………………………..................................................

Cashier’s Scroll No………………….. Transfer Scroll No…………By………

Scroll Clerk………………..

(Depositor’s Signature)

Cashier……………
Cash Office………........................... M.T.No…………………….

Account Officer.........................................

 

Note: (1) The cheque/draft should be in favour of the Accounts Office. The PPF Accounts No.
should be indicated in brackets thereafter to ensure quick and proper adjustment.

Note: (2) In the case of deposits made by Cheque/draft/postal order the counterfoils of the challan
will be returned by the Account office to the depositor on realization on the proceeds.
Code No.2366

 

 

Cheque No.

Branch

Bank Name

Date
Counterfoil(1)

Subscriber’s Copy

Public Provident Fund Scheme, 1968

______________________________________

(Name of Account Office)

 

Dated -----------------

Account No................ Ledger Folio ...…......
 

Name of Subscriber ……………………..

Amount Deposited (Cash/Cheque)

Rs.

Subscription :
Loan Repayment :
Interest on Loan :
Fee :

_________________

Total :

_________________

 

Rupees   ………………………………….............

( in words)

_______________________________________
For Deposit office:

Amount in figures:
Cashier’s Scroll No. :
Date Stamp of Deposit office
Cashier
Cash Office/Accounts Officer








Code No.2366
Cheque No.

Branch
Bank Name

Date
Counterfoil(2)

Agent’s Copy

Name of Agent………………………..
Code No………………………………

Public Provident Fund Scheme, 1968

______________________________________

(Name of Account Office)

 

Dated -----------------

Account No................ Ledger Folio ...…......
 

Name of Subscriber ……………………..

Amount Deposited (Cash/Cheque)

Rs.

Subscription :
Loan Repayment :
Interest on Loan :
Fee :

_________________

Total :

_________________

 

Rupees   ………………………………….............

( in words)

_______________________________________
For Deposit office:

Amount in figures:
Cashier’s Scroll No. :
Date Stamp of Deposit office
Cashier
Cash Office/Accounts Officer
N.B.: This counterfoil may be scored out by subscribers not utilizing the service of an agent.



Code No.2366