y

TRIPLICATE

DUPLICATE

ORIGINAL

__________ TREASURY/Sub-Treasury

__________ TREASURY/Sub-Treasury

__________ TREASURY/Sub-Treasury

GOVERNMENT OF ANDHRA PRADESH

GOVERNMENT OF ANDHRA PRADESH

GOVERNMENT OF ANDHRA PRADESH

TREASURY CHALLAN No.____________

TREASURY CHALLAN No.____________

TREASURY CHALLAN No.____________

Qg .

Qg .

Qg .

Qg ^

Qg ^

Qg ^

Major Head

Major Head

Major Head

Sub-Major Head

Sub-Major Head

Sub-Major Head

Minor Head

Minor Head

Minor Head

Group Sub-Head

Group Sub-Head

Group Sub-Head

Sub-Head

Sub-Head

Sub-Head

Detailed Head

Detailed Head

Detailed Head

M E

M E

M E

Sub-detailed head
. / Amount Rs.

Sub-detailed head
. / Amount Rs.

A .

. / Amount Rs.
A .

in words Rupees

in words Rupees

in words Rupees

Remitter's Name & Address

Remitter's Name & Address

Remitter's Name & Address

Purpose for which the amount is deposited.

Purpose for which the amount is deposited.

Purpose for which the amount is deposited.

Office at whose instance Amount

Office at whose instance Amount

Office at whose instance Amount

A .

yhr , _

Sub-detailed head

yhr , _

M f^y

yhr , _

M f^y

f ^V M AM

M f^y

f ^V M AM

Head of Account verified

Dated

yhr M
Signature of the Remitter

A .

Head of Account verified

S.T.O./T.O.

st

f ^V M AM

Dated

yhr M
Signature of the Remitter

A .

Head of Account verified

S.T.O./T.O.

st

Dated

yhr M
Signature of the Remitter

A .

st

Received Rs. ..........................

Received Rs. ..........................

Received Rs. ..........................

by cash / D.D.No. / Cheque No. ....................

by cash / D.D.No. / Cheque No. ....................

by cash / D.D.No. / Cheque No. ....................

V / y.y. / ^M

V / y.y. / ^M

S.T.O./T.O.

V / y.y. / ^M

s.K. / N f

s.K. / N f

s.K. / N f

S.T.O. / BANK MANAGER

S.T.O. / BANK MANAGER

S.T.O. / BANK MANAGER

Note: Seperate challan should be used for each detailed head.

Note: Seperate challan should be used for each detailed head.

Note: Seperate challan should be used for each detailed head.