Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Branch Teller: Use SCR 008765Deposit>Fee Collection>State Bank Collect

Date:12-03-2014
Benificiary/Remittance Details
State Bank MOPS Reference No. CP05319379
Beneficiary: UP B.Ed
Merchant Reference No: 25184002
Rs P
Collection Amount 1000 00
Comission 50 00
Total ( One Thousand And Fifty Rupees Only) 1050 00
Cheque No:
Cheque Date:
Drawee Bank & Branch:State Bank of India
Branch :
Space for Bank use
Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch
Benificiary/Remittance Details
State Bank MOPS Reference No. CP05319379
Beneficiary: UP B.Ed
Merchant Reference No: 25184002
Rs P
Collection Amount 1000 00
Comission 50 00
Total ( One Thousand And Fifty Rupees Only) 1050 00
(To be Filled in by the Bank)
Branch Name:
Date:12-03-2014
Depositor Copy
p Rs Details of Cash / Cheques

Total Rs
Instructions for Depositor: This is not an e-receipt.

CP05319379 Journal No:

Deposit Date: Branch Code:
Branch Stamp
Authorised Signatory
Branch Copy

Cheque

Cash
(Choose Either Cash / Cheque) Mode of Payment
Cash Notes
Rs P
Amount
*1000
*500
*100
*50
*20
*10
Coins
Total Rs
Signature of the Depositor
Branch Stamp