PAKISTAN TELECOMMUNICATION AUTHORITY

HEADQUARTERS, ISLAMABAD

Challan Form
(One original and three photocopies be prepared by Dealing Branch of PTA and sent to Cash & Budget Branch alongwith Cash/PO
/DD/Cheque for deposit into Bank)

Account No. NIDA 30-6 No.

NBP, Main Branch, Civic Centre,
Islamabad. Day Month Y e a r
Date :
Name (Firm/Company/Person )_____________________________________________________________________________

Address: ________________________________________________________________________________________________

_________________________________________________________________________________________________________

S.No. Cash/P.O./D.D./Cheque No. Drawn On Date Amount (Rs)

1
2
3
4
Total Rs:
Amount in words: Rs. _____________________________________________________________________________________

Service Payment Period & Date PTA Demand Amount

License No. Type
Nature of Payment
From To Note No. (Rs)
Royalty/Annual Lic Fee
Licence Fee
Licence Renewal Fee
Special Fee
Application Fee
Registration Fee
Processing/Evaluation Fee
Type Approval Fee
Spectrum Charges/Fee
Other (Please specify)

Total Amount Rs:

Total amount in wordRs.___________________________________________________________________________________

Distributions:
1. Customer
2. Accounts Signatures: Signatures: Bank Manager

3. Bank Name: Name: Signatures:

4. Dealing Branch Designation: Designation: Stamp:

Instructions for users:

Responsibility of Dealing Branches and their related revenue heads are shown as under:-
Licensing Application Fee, License Fee, Processing/Evaluation Fee etc.
Type Approval Branch Application Fee, Type Approval Fee, Royalty, Processing/Evaluation Fee etc.
RBS Spectrum Charges, Wireless Renewal Fee etc.
Director (Finance) License Renewal Fee, Special Fee, Royalty etc.

Service Types= Basic Telephony, Mobile Phone, Card PayPhone, Trunk Radio, VoiceMail, E-mail, Type Approval, DCNS, Spectrum, Internet, Cable TV etc