TO BE PAID THROUGH SYSTEM ONLY
PFMS Generated Print Payment Advice
Approval date in PFMS: 18 Jul 2024 Payment Advice No.: C072434937530
Expiry date of PPA PFMS: 28 Jul 2024 Advice Print Date : 18 Jul 2024
PAN No. : TAN No.:
Note For Branch:
Contact Details BANK PFMS
Name: Shailesh Shah
Email : Shailesh.Shah@hdfcbank.com Helpdesk-pfms@gov.in
Phone No. : 9312845391 011-23343860
Note:
To,
The Branch Head
HDFC BANK LTD
Silchar Branch
We authorise the bank to debit our undernoted account maintained with the bank with batch
amount and credit the beneficiary(ies) [#19] as per ANNEXURE-I uploaded to bank's central
system through PFMS O/o CGA.
Bank Account No. 50100133377132 Total Amount of Debit : Rs 80,184.00
(Amount in words : Eighty Thousand One Hundred Eighty-Four
)
No. Of Beneficiaries as per Annexure-I. Batch No. C072434937530
Agency Seal
.................................................. ..................................................
(Sign by Authorized Signatory) (Sign by Authorized Signatory)
Name - ________________________ Name - ________________________
Designation - __________________ Designation - __________________
Mobile No - ____________________ Mobile No - ____________________
To,
HARINAGAR PHC NHM FUND-[ASCA00003068]
Ref: Account No. 50100133377132 / Payment Advice Number C072434937530
We confirm having received the captioned advice of credit(s) for payment today for further
processing as per arrangement of bank on integrated PFMS-Bank payment system.
No. Of Beneficiaries : 19 Amount (in Rs.) : 80,184.00
Date & Time :
HDFC BANK LTD Branch Seal Branch Authorized Official
Agency to enter date of delivery in PFMS using option | E-Payment => PPA Submission Status
Public Financial Management Page No:1 / 2 18/07/24 00:25
System
ANNEXURE -I
(All page to be stamped and initial and last page to be signed in FULL with stamp)
Payment Advice No.: C072434937530
Sr.No. Name of PFMS Txn ID Account IFSC/IIN/MICR Aadhaar Amount(In
Beneficiary Number Code Number Rs.)
1 KUSUMLAI BIBI C072434934384 xxxxxxxxxxxx4130 PUNB0RRBAGB 4,400.00
2 LAKHI RANI C072434934385 xxxxxxxxxxxx2482 PUNB0RRBAGB 2,825.00
MAHATO
3 MINA GOALA C072434934398 xxxxxxxxxxxx4615 PUNB0078120 6,010.00
4 MUNNI DAS C072434934386 xxxxxxxxxxxx3911 PUNB0RRBAGB 8,400.00
5 NIBEDITA C072434934399 xxxxxxxxxxxx9404 PUNB0078120 4,115.00
ACHARJEE
6 NILU CHETRI C072434934387 xxxxxxxxxxxx2412 PUNB0RRBAGB 3,050.00
7 NIRMALA C072434934388 xxxxxxxxxxxx0353 PUNB0RRBAGB 3,360.00
RAJBONGSHI
8 NOMITA C072434934389 xxxxxxxxxxxx8526 PUNB0RRBAGB 2,560.00
GOSWAMI WO
UDOY
GOSWAMI
9 RABITA C072434934390 xxxxxxxxxxxx2467 PUNB0RRBAGB 2,810.00
BARMAN
10 RAJLAKHI PAUL C072434934400 xxxxxxxxxxxx2764 PUNB0078120 4,005.00
11 RINA TANTI C072434934391 xxxxxxxxxxxx2805 PUNB0RRBAGB 3,980.00
12 ROTLING HMAR C072434934392 xxxxxxxxxxxx3182 PUNB0RRBAGB 4,460.00
13 SAMSUN NESSA C072434934393 xxxxxxxxxxxx4558 PUNB0RRBAGB 4,450.00
14 SEBA RANI C072434934401 xxxxxxxxxxxx7945 PUNB0078120 6,187.00
TANYUBAI
15 SHEWLY C072434934394 xxxxxxxxxxxx2791 PUNB0RRBAGB 2,756.00
BARMAN
16 SHIBANI C072434934402 xxxxxxxxxxxx3465 PUNB0078120 6,327.00
BARMAN
17 SHILPI RANI C072434934395 xxxxxxxxxxxx1569 PUNB0RRBAGB 2,429.00
BARMAN
18 SIMA BAKTI C072434934396 xxxxxxxxxxxx3239 PUNB0RRBAGB 4,810.00
19 SIPRA DHAR C072434934397 xxxxxxxxxxxx3813 PUNB0RRBAGB 3,250.00
Total Amount(Rs) 80,184.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.
Public Financial Management Page No:2 / 2 18/07/24 00:25
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