FORM-B (CENTRAL) FORM-B (CENTRAL)
(See sub paragraph (3) of paragraph 4) (See sub paragraph (3) of paragraph 4)
PUBLIC PROVIDENT FUND SCHEME, 1968 PUBLIC PROVIDENT FUND SCHEME, 1968
COUNTERFOIL – 1 COUNTERFOIL-2
SUBSCRIBER’S COPY BANK’S COPY
SBI BRANCH NAME 29 5 20
: SBI CIVIL LINE,WARDHA Date:__/__/20__ SBI BRANCH NAME : SBI CIVIL LINE,WARDHA 29 5 20
Date: ___/___/20___
NAME OF SUBSCRIBER: VAIBHAV P TAPDIYA NAME OF SUBSCRIBER: VAIBHAV P TAPDIYA
PPF A/C NO : 11037063842 PPF A/C NO : 11037063842
AMOUNT OF DEPOSIT CASH / CHEQUE AMOUNT OF DEPOSIT CASH / CHEQUE
SUBSCRIPTION* 500 SUBSCRIPTION* 500
LOAN REPAYMENT* LOAN REPAYMENT*
INTEREST ON LOAN* INTEREST ON LOAN*
PENALTY / FEES* PENALTY / FEES*
TOTAL AMOUNT 500 TOTAL AMOUNT 500
Amount In Words (Rupees_______________________ Five Hundred only
Five Hundred only
Amount In Words (Rupees____________________________________________)
_________________________________________)
DETAILS OF CASH DEPOSIT AMOUNT DETAILS OF CASH DEPOSIT AMOUNT
2000 X 0 .00 2000 X 0
500 X 1 500 .00 500 X 1 500
100 X 0 .00 100 X 0
50 X 0 .00 50 X 0
20 X 0 .00 20 X 0
10 X 0 .00 10 X 0
5 X 0 .00 5 X 0
Cheque / Demand Draft No & Date
Cheque / Demand Draft No & Date: …….……………………….. & ……/……/20………
……………………….. & ……/……/20………
Bank / Branch on Which Drawn
Bank / Branch on Which Drawn: ………………………………………………………………………….
………………………………………………………………………….
Depositor’s Signature Depositor’s Signature
Note:
(i) Cheque / DD in favour of “SUBSCRIBER” name and will be credited after
realisation of proceeds only on realisation date.
(ii) * Select the Proper type of payment as above
SBI FORMS BY 4577825
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