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CHALLAN MTR Form Number-6

GRN Department Type of Payment Office Name Location Year Account Head Details Amount in Rs. Flat/Block no, Premises/Bldg Road/Street Area/Locality Town/City/District PIN REMARKS (If Any) TAX ID (If Any) PAN No.(If Appliacable) Full Name Payer Details

Total Amount In Words Payment Details Cheque-DD Details Cheque/DD No. Name of Bank Name of Branch Bank CIN Date Paise only

0.00

FOR USE IN RECEIVING BANK REF No.

Bank-Branch Scroll No. ,Date

-----Cut Here---------------------------------------------------------------------------------Bank Copy-----------------------------------------------------------------------------Cut Here-----

GRN Party Name Amount In Words Account Head Details Cheque-DD Details Cheque/DD No. Name of Bank Name of Branch Paise only

Challan Date

//

Challan Amount

0.00

Payment Details Bank CIN Date Bank-Branch Scroll No. ,Date REF No.

*Please see the list of branches on the HOME PAGE of GRAS site where you can make payment.

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