TBU VAN Pay in Slip TBU VAN Pay in Slip

Instruction for Branch:

Customer Copy Go to CBS other APPs-> SI->Service integration->VAN
Bank Copy Date ___ /___ /20____

Beneficiary Details: Date ___ /___ /20____

Beneficiary Details:
Beneficiary Name
Beneficiary Name
Beneficiary Account
No. *VAN Beneficiary Account No.
*VAN
*Please enter Virtual Account Number (VAN) in the space provided
Denomination Amount
*Please enter Virtual Account Number (VAN) in the space provided
Denomination Amount
Details of Deposit: 2000 x
Details of Deposit: 2000 x
500 x
Cheque No.
200 x 500 x
Cheque No.
100 x 200 x
Date 50 x Date
100 x
20 x
10 x Bank Name 50 x
Bank Name
5x 20 x
2x
10 x
1x
Amount Rs. 5x
Total
2x
Amount Rs.
Amount in Words Rupees 1x
Amount in Words Rupees Total

___________________ ___________________ ___________________ ___________________

Signature of Bank Official Signature of Depositor Signature of Bank Official Signature of Depositor