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SBI Pre Acknowledgement Payment Form

This document is a payment form for a candidate applying through the SBI ePay system. It provides details of the candidate, Diya Dandu, including their application number and the merchant reference number. It states that Rs. 95,000 is being collected, with a commission of Rs. 59, bringing the total due to Rs. 95,059. Below are lines to provide details of the cash or cheque being used for payment. Instructions at the bottom note this is not an e-receipt and include spaces for the deposit details to be filled in by the bank, with signatures from the depositor and bank.

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rakesh_dandu
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5 views2 pages

SBI Pre Acknowledgement Payment Form

This document is a payment form for a candidate applying through the SBI ePay system. It provides details of the candidate, Diya Dandu, including their application number and the merchant reference number. It states that Rs. 95,000 is being collected, with a commission of Rs. 59, bringing the total due to Rs. 95,059. Below are lines to provide details of the cash or cheque being used for payment. Instructions at the bottom note this is not an e-receipt and include spaces for the deposit details to be filled in by the bank, with signatures from the depositor and bank.

Uploaded by

rakesh_dandu
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 26-10-2022 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Benificiary/Remittance Details Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
Date: 26-10-2022
SBIePay Lite Reference No. CPACDWWXO8
Benificiary/Remittance Details
(formerly SBMOPS)
SBIePay Lite Reference No. CPACDWWXO8
Beneficiary: JAC Delhi
(formerly SBMOPS)
Merchant Reference No: 22031069336515221026195625
Beneficiary: JAC Delhi
Candidate Name: DIYA DANDU
Merchant Reference No: 22031069336515221026195625
Application No: 220310693365
Candidate Name: DIYA DANDU
Rs P
Application No: 220310693365
Collection Amount 95000 00
Comission 59 00 Rs P
Total ( Ninety Five Thousand And Fifty Nine Rupees Only) 95059 00 Collection Amount 95000 00
Comission 59 00
Details Cheques Rs p Total ( Ninety Five Thousand And Fifty Nine Rupees Only) 95059 00
Mode of Payment (Choose Either Cash / Cheque)
Cash

Total Rs Amount
Cash Notes Rs P
Details of Cash / Cheques Rs p
*2000
*500
*200
Total Rs *100

Instructions for Depositor: This is not an e-receipt. *50


*20
(To be Filled in by the Bank) *10

Journal No:
Coins
Total Rs

Branch Name: Cheque

Branch Code: Deposit Date: Cheque No:


Cheque Date:

Branch Stamp Drawee Bank & Branch: State Bank of India

Branch :

Authorised Signatory

Signature of the Depositor

Space for Bank use


Branch Stamp

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