TO BE PAID THROUGH SYSTEM ONLY
PFMS Generated Print Payment Advice
Approval date in PFMS: 30 Jan 2024 Payment Advice No.: C012449332654
Expiry date of PPA PFMS: 09 Feb 2024 Advice Print Date : 30 Jan 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
BALNAGAR X ROAD BRANCH
We authorise the bank to debit our undernoted account maintained with the bank with batch amount and
credit the beneficiary(ies) [#1] as per ANNEXURE-I uploaded to bank's central system through PFMS O/o
CGA.
S
M
Bank Account No.
Total Amount of Debit : Rs2369.00
50100572496533
PF
(Amount in words : Two Thousand Three Hundred Sixty-Nine )
No. Of Beneficiaries as per
Batch No. C012449332654
Annexure-I.
Agency Seal
.................................................. ..................................................
(Sign by Authorized Signatory) (Sign by Authorized Signatory)
Name -
________________________ Name - ________________________
Designation -
___________________ Designation - ___________________
Mobile No -
____________________ Mobile No - ____________________
To, MEDICALOFFICER PATELNAGAR
COMM HALL BD
Ref: Account No.50100572496533/ Payment Advice Number
C012449332654
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 : 1 Amount (in Rs.):2369.00
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 30/01/2024 10:30
ANNEXURE -I
(All page to be stamped and initial and last page to be signed in FULL with stamp)
Payment Advice No.: C012449332654
Name of Amount(In
Sr.No. PFMS Txn ID Account Number: IFSC/IIN/MICR Aadhaar
Beneficiary Rs.)
BANDARU
1 CNRB0001090 2369.00
MANISHA C012449342338 xxxxxxxxxxxx0082
Total Amount(Rs) 2369.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.
S
M
PF
Public Financial Management 30/01/2024 10:30