Cash Notes: Amount

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Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 12-02-2023 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Benificiary/Remittance Details Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
Date: 12-02-2023
SBIePay Lite Reference No. CPACLYZHS7
Benificiary/Remittance Details
(formerly SBMOPS)
SBIePay Lite Reference No. CPACLYZHS7
Beneficiary: NATIONAL TESTING AGENCY
(formerly SBMOPS)
Merchant Reference No: 1016433CUET23233510046753
Beneficiary: NATIONAL TESTING AGENCY
Rs P
Merchant Reference No: 1016433CUET23233510046753
Collection Amount 750 00
Commission 0 00 Rs P
Total ( Seven Hundred And Fifty Rupees Only) 750 00 Collection Amount 750 00
Commission 0 00
Details of Cash / Cheques Rs p Total ( Seven Hundred And Fifty Rupees Only) 750 00
Mode of Payment (Choose Either Cash / Cheque)
Cash

Total Rs Amount
Cash Notes Rs P
Instructions for Depositor: This is not an e-receipt.
*2000
(To be Filled in by the Bank) *500

Journal No: *200


*100
*50
Branch Name: *20
*10
Branch Code: Deposit Date:

Coins
Branch Stamp
Total Rs

Cheque
Authorised Signatory
Cheque No:
Cheque Date:
Drawee Bank & Branch: State Bank of India

Branch :

Signature of the Depositor

Space for Bank use


Branch Stamp

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