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PAY IN SLIP

BANK'S COPY PAY IN SLIP

TNACTCL'S COPY PAY IN SLIP

MSOs/LCOs COPY

( IMPORTANT: BRANCHES MUST NOT GENERATE REFERENCE NUMBER FROM CBS FOR THIS COLLECTION)

ADVANCE/MONTHLY SUBSCRIPTION CHARGES

ADVANCE/MONTHLY SUBSCRIPTION CHARGES

ADVANCE/MONTHLY SUBSCRIPTION CHARGES

- PAYABLE AT ALL BRANCHES OF

- PAYABLE AT ALL BRANCHES OF

- PAYABLE AT ALL BRANCHES OF

INDIAN BANK

INDIAN BANK

INDIAN BANK

Paid to the credit of TNACTCL (Challan)

Paid to the credit of TNACTCL (Challan)

Paid to the credit of TNACTCL (Challan)

A/C No. 982906947, NANDANAM

A/C No. 982906947, NANDANAM

A/C No. 982906947, NANDANAM

BRANCH, CHENNAI, BRANCH CODE: 1443

BRANCH, CHENNAI, BRANCH CODE: 1443

BRANCH, CHENNAI, BRANCH CODE: 1443

Refrence Number: LCOC672617

Refrence Number: LCOC672617

Refrence Number: LCOC672617

Enrollment Number: LCO28195

Enrollment Number: LCO28195

Enrollment Number: LCO28195

Operator Name: SIVAKUMAR R

Operator Name: SIVAKUMAR R

Operator Name: SIVAKUMAR R

Address: 2/16 KOSAVANOOR

Address: 2/16 KOSAVANOOR

Address: 2/16 KOSAVANOOR

MARURPATTI PO NAMAKKAL

MARURPATTI PO NAMAKKAL

MARURPATTI PO NAMAKKAL

Mobile No.: 9344737399

Mobile No.: 9344737399

Mobile No.: 9344737399

Txn Type: Subscription Fee 2013 - Apr

Txn Type: Subscription Fee 2013 - Apr

Txn Type: Subscription Fee 2013 - Apr

Amount: Rs. 120.00

Amount: Rs. 120.00

Amount: Rs. 120.00

Amount in words: Rupees one hundred and twenty only.

Amount in words: Rupees one hundred and twenty only.

Amount in words: Rupees one hundred and twenty only.

(Inclusive of Service Tax + Bank Charges)

(Inclusive of Service Tax + Bank Charges)

(Inclusive of Service Tax + Bank Charges)

Name of the receiving branch ________________

Name of the receiving branch ________________

Name of the receiving branch ________________

 

 

Signature of Operator

 

 

Signature of Operator

 

 

Signature of Operator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR BANK'S USE

 

 

FOR BANK'S USE

 

 

FOR BANK'S USE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MUP

MU0025546084

Branch

 

 

MUP

MU0025546084

Branch

 

 

MUP

MU0025546084

Branch

 

 

Ref No

 

Code

 

 

Ref No

 

Code

 

 

Ref No

 

Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Journal No

 

Signature

 

 

Journal No

 

Signature

 

 

Journal No

 

Signature

 

 

 

 

of

 

 

 

 

of

 

 

 

 

of

 

 

 

 

cashier

 

 

 

 

cashier

 

 

 

 

cashier

 

 

Branch Name

 

Date

 

 

Branch Name

 

Date

 

 

Branch Name

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Important Instruction: The challan is valid ONLY for 10 days from this date of generation ( 13/09/2013 ).