8/17/2019 Map Parti Ch6

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Account No. 01

 EP.F.)

ORIGINAL (USE SEPARATE CHALLAN FOR EACH MONTH)

CHALLAN

STATE BANK OF INDIA

EMPLOYEES' PROVIDENT FUNQ ORGANISATION

~STABLlSHMENT CODE No. DJ I I I I I

PAID BY: I CASH/CHEQUE/DRAFT

DUES FOR THE MONTH OF

S.No.

Particulars AMOUNT Paise

Rupees

1.

Employer's share of PF Contribution

2. Member's share of PF Contribut ion

3.

Employer's share OfPast Contribu.tion

4.

Member's share of Past Accumulations

5.

Penal damages

6.

Interest on Securities

7.

Miscellaneous

TOTAL

SEAL OF THE BANK

(in words) Rupees : .

Paid into the credit of EPF Alc. No. 01 on behalf of .

Name of Establishment. .

Address .

(for Bank's use only)

Amount Received Rs P .

For cheques only

Date of Realisation

DDMM YYYY

t f f i

ignature of the Depositor .

 

Name of the Depositor .

Date of Presentation

H. Cashier P.O./Scroll Tr. (P.T.O.)

 

To be filled in by the Employer

Part iculars of DRAFT/CHEQUE: (If payment is by cheque)

Branch

Name of the Bank

Draft/Cheque No.

DDMM YYYY

Date:

Details of Cash (Notes   Coins)

Amount

Denomination No.

Rupees

Paise

Total

 Size: 19 x 13

CIIl

Colour - White

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Account No.  

(E.P.F.)

  USE SEPA RA TE CHA LL AN FOR EA CH MONTH)

ORIGINAL

CHALLAN

STA TE B ANK OF INDIA

EMPLOYEES PROVIDENT FUND ORGANISATION

•

f

ESTABLISHMENT CODE No.

rn I I I

 

PAID BY :

~SH/CHEQU~DRAFT

DUES FOR THE MONTH OF

S.No. Particulars

AMOUNT

Paise

Rupees

1. Administration Charges

2.

Inspection Charges

3. Penal damages

4. Miscellaneous

TOTAL

SEAL   THE B ANK

(in words)

Rupees .

Paid into the credit of EPF Ale. No. 02 on behalf of .

Name of Establishment. .

Address .

( for Bank's use only)

Amount Received Rs P .

For cheques only

Signature of the Depositor .

Date of Presentation

o D M M

 

Y Y Y Y

CEIJJ

~

Name of the Depositor .

Date of Realisatieft

H. Cashier P.O.lSeroll Tr. (P.T.O.)

 

To be filled in by the Employer

Particulars of DRAFT/CHEQUE: (If payment is by cheque)

Name of the Bank

Branch

Draft/Cheque No.

DDMM YYYY

Detai ls of Cash (Notes   Coins) . Amount

Denomination No.

Rupees Paise

Total

 Size: 19 x 13 cm Colour Yellow ,

6 4

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Account No. 10

Pension Fund

(USE SEPARATE CHALLAN FOR EACH MONTH)

ORIGINAL

CHAlLAN

STATE BANK OF INDIA

EMPLOYEES'

PRQVIDENT

FUND ORGANISATION

ESTABLISHMENT CODE No. DJ f r \ I

PAID BY:

~ CA5H1CHEQUEIDRAFT

- 1 : ; ; 1

DUES FOR THE MONTH OF

S.No.

Particulars

AMOUNT

Paise

Rupees

1.

Employer's FPF Contribution

2.

Penal damages

3.

Miscellaneous

.

TOTAL

SEAL OF THE BANK

(in words)

Rupees ..........•...................

Paid into the credit of FPF Ale. No. 10 on behalf of .

Name of Establishment.' .

Address .

(for Bank s use only}

Amount Received Rs ..................•... P .

For cheques only

Name of the Depositor :-:

Date of Realisation

D D M M

· E E · · m  · ~

DJ lj li

Y Y Y v

Signature of the DepoSitor .

Date of Presentation

H. Cashier P.OJScroU Tr. (P.T.O.)

• •

o be fl11edin by the Employer

Particulars of DRAFT/CHEQUE:  If payment

is

by

cheque)

OraftlCheque·No.

Name of the Bank

Branch

DDMM YYYY

Detai ls of Cash (Notes   Coins)

Amount

Oenominati?O No. Rupees

Paise

Total

 Size: 19 x 13 cm Colour. - Pink

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(USE SEPARATE CHALLAN FOR EACH MONTH)

Account No. 21

(EDLI)

ORIGINAL

CHALLAN

STATE BANK OF INDIA

EMPLOYEES' PROVIDENT FUND ORGANISATION

E~TABUSHMENT CODE No.

DJ

I I I I · ·

PAID BY :

j CASH/CHt=QUEIDRAFT

MM YYY Y QD'MM YY YY

/ DUES-FOR THE MONTH OF rn  

1

 

9

\ \. I DATEOFPAYMENTrnrn   1\9\ I I

S.No.

Particulars AMOUNT Paise

Rupees

 

1.

EDlI Fund Contribution

2.

Penal damages

3.

Miscellaneous

TOTAL

 

SEAL OF THE BANK

(in words) Rupees ..•. : .

Paid into the credit of EDlI Alc. No.

21

on behalf of .

( for Bank's use only)

Name of Establishment. . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount Received Rs P .

Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For cheques only

Name of the Depositor . Date of Realisation

DDMM YYYY

  f f i t

ignature of the Depositor . Date of Presentation

H. Cashier P.O.lScroll Tr. (P.T.O.)

 

To be filled in by the Employer

Particulars of DRAFT/CHEQUE: (If payment is by cheque)

Draft/Cheque No.

Name of the Bank.

Branch

DDMM YYYY

Details of Cash .(Notes   Coins)

Amount

Denomination No.

Rupees

Paise

Total

 Size: 19x 13cm Colour-. Blue

6 6

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Account No. 22

 EDU

USE SEPA RA TECHA LL AN FOR EA CH MONTH)

ORIGINAL

CHALLAN

STA TE B ANK OF INDIA

EMPLOYEES PROVIDENT FUND ORGANISATION

ESTABLISHMENT CODE No.   I

PAID BY:

  CASH/CHEQUE/DRAFT

MM YYY Y DDMM yy yy

DUES FOR THE MONTH OF

C D

 

9

I

D

DATE OF PAYMENT

C D C D

 

I

 

I

S.No.

Particulars

AMOUNT Paise

Rupees

1.

Administration Charges

2. Inspection Charges

3. Penal damages

4. Miscellaneous

TOTAL

SEAL OF THE BANK

(in words)

Rupees ~ ,

Paid into the credit of EDLI   cNo. 22 on behalf of .

Name of Establishment ; .

Address ' .

(for Bank's use only)

Amount Received Rs P .

For cheques only -

Name of the Depositor .

Date of Realisation

DDMM YYYY

  t f f i

ignature of the Depositor . Date of Presentation

H. Cashier P.O./Scroll Tr. (P.T.O.)

 

To be filled in by the Employer

Part iculars of DRAFT/CHEQUE: ( If payment is by cheque)

Name of the Bank

Branch

Draft/Cheque No.

DDMM YYYY

Details of Cash (Notes Coins) Amount

Denomination. No.

Rupees Paise

Total

 Size:

.t

9 x 13cm Colour - Green

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