Advance Notice

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ADVANCE NOTICE FOR ENCASHMENT.

I intend to withdraw/encashment the amount of certificates/ accounts on


______________. The particulars of the investment are as under.

Certificates.
Mode of
Payment
S.
No.
Scheme Name
& Registration
No.
S. No. of
certificates
Denomination/
Qty
Amount of
(Principal/
profit)
Cash Cheque






Accounts.
Mode of
Payment
S.
No.
Name of
Scheme
Account No. Balance Amount to be
withdrawn
Cash Cheque







Received. Signature:___________________________
Officer Incharge. Name of Investor:_____________________
Address:____________________________
Contact No:__________________________
NIC No:_____________________________

Note: - In case of notice for cash payment, if the amount is not encashed/withdrawn after three days from
the date of notice, the notice shall be canceled and a fresh notice will be required for encashment.

ACKNOWLEDGEMENT OF RECEIPT BY THE INVESTOR.

I have received and amount of Rs._______________ by cash/cheque No.___________,
dated _________________ and also handover/returned the original receipt of advance
notice.

Signature of Investor.

R E C E I P T.

I ______________________ Officer Incharge/Second Officer/Cashier has received the
advance notice for pay of Rs. ____________ in cash/Cheque from Mr. ______________
dated ____________.


Signature of
Officer Incharge/Second Officer/Cashier.

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