CASH / CHEQUE DEPOSIT SLIP

CUSTOMER COPY
Date

CASH / CHEQUE DEPOSIT SLIP

Source of Fund For NRO Accounts
c Dividend/Interest/Warrant
c Rent / Pension / Sale of Proceeds of assets
c Others, Please specify _______________

Account No.

BANK COPY
Please prepare separate slip for each type of deposit
c Cash
c YES BANK Cheque
c Local Cheque c Outstation Cheque

Account No.
(Please mention this Account Number on the reverse of the cheques also)

Name of Account Holder____________________________________________

Cash / Cheque Details

Cheque No.

Rupees

Date_____/_____/________
(Please mention this Account Number on the reverse of the cheques also)

Name of Account Holder____________________________________________________________________________________

Details of Cheque/Cash Deposit:
Denomination
Bank Name, Branch & City
Cheque No.
Cheque issued by
Rupees
Paisa
(if depositing cash)

`.

1000 x

`.

500 x

`.

100 x

`.

50 x

`.

20 x

`.

10 x

Coins `. 5/2/1/

Total `.

Total `.

AMOUNT IN WORDS : Rupees ____________________________________

AMOUNT IN WORDS : Rupees _________________________________________________________________________
______________________________________________________________

___________________________________________________PAN No. (for Amount > `50,000)_____________________

Deposit By _____________________

Deposit By

Teller

CASH / CHEQUE DEPOSIT SLIP

CUSTOMER COPY
Date

CASH / CHEQUE DEPOSIT SLIP

Source of Fund For NRO Accounts
c Dividend/Interest/Warrant
c Rent / Pension / Sale of Proceeds of assets
c Others, Please specify _______________

Account No.

Tel. of A/c Holder___________________

BANK COPY
Please prepare separate slip for each type of deposit
c Cash
c YES BANK Cheque
c Local Cheque c Outstation Cheque

Account No.
(Please mention this Account Number on the reverse of the cheques also)

Name of Account Holder____________________________________________

Cash / Cheque Details

Cheque No.

Rupees

Teller ________________

Please Note: For all Cheque Deposits, funds for withdrawal will be available only after realisation.

Date_____/_____/________
(Please mention this Account Number on the reverse of the cheques also)

Name of Account Holder____________________________________________________________________________________

Details of Cheque/Cash Deposit:
Denomination
Bank Name, Branch & City
Cheque No.
Cheque issued by
Rupees
Paisa
(if depositing cash)

`.

1000 x

`.

500 x

`.

100 x

`.

50 x

`.

20 x

`.

10 x

Coins `. 5/2/1/

Total `.

Total `.

AMOUNT IN WORDS : Rupees ____________________________________

AMOUNT IN WORDS : Rupees _________________________________________________________________________
______________________________________________________________

___________________________________________________PAN No. (for Amount > `50,000)_____________________

Deposit By _____________________

Deposit By

Teller

Tel. of A/c Holder___________________

Please Note: For all Cheque Deposits, funds for withdrawal will be available only after realisation.

Teller ________________