Bank Reconciliation Statement of …………

as on …………………………
Particulars Amount Amount
Balance as per Pass Book ……….
Add:(i)Cheques sent to Bank but not collected ………..

(ii) Cheques paid into bank but dishonored ………..

(iii) B/R deposited for collection but dishonored or B/R discount-
ted on presentation ………..
(iv) Cheques entered in cash book but not sent to bank ………..
(v)Cheques issued and honored but not entered in the cash book ………..
(vi)Bank Charges/Bank commission, interest charged on overdraft ………..
(vii)Insurance Premium, Tax etc Paid by the bank and not entered
in cash book ………..
(vii) An amount wrongly debited in pass book ……….. ………..
.………
Less :(i) Cheques issued but not presented for Payment ( upto the
date of statement) ………..
(ii) Cheques issued but not cashed ………..
(iii) Cheques issued but presented for payment after the date
of this statement ………..
(iv) Interest credited (or allowed)by bank (not entered in the
cash book) ………..
(v) Amount deposited in bank directly by customer ………..
(vi) Interest and dividend collected or credited but not recorded
in the cash book ………..
(vii) cheques sent to bank collected or credited but not entered
in Cash book ………..
(viii) B/R Collected , entered in pass book but not in cash book ………..
(ix) Any amount wrongly entered in the credit side of pass book ………..
(x) Cheque issued returned on technical grounds ……….. ……….

Balance as per Cash Book Rs ………..

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