Pay in Slip

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Size 9 x 4 (Customer Copy)

ICICI Bank
Corporate Solutions
Credit to Client Account No.

ICICI BANK BRANCH CODE


Cleartrip Travel Services Pvt Ltd
Deposit Slip No. Date of Cash Deposit CASH DEPOSIT DENO. PIECES
1000 500 100 50 20 10 X X X X X X X X

Customer Copy

0 3 2 3 0 5 0 0 2 2 9 0
Trip Id / Reference No.

DD-MM-YYYY
Rs. Ps.

Depositors Name & Signature

Banks Acknowledgement
For Branch Use: Tran Id: Additional Informations:

TOTAL

If Cash > Rs. 50,000

JC/ SO:

PAN/GIR No.

A A C C C 6 0 1 6

Size 9 x 4 (Bank Copy)

ICICI Bank
Corporate Solutions
Credit to Client Account No.

ICICI BANK BRANCH CODE


Cleartrip Travel Services Pvt Ltd
Deposit Slip No. Date of Cash Deposit CASH DEPOSIT DENO. PIECES
1000 500 100 50 20 10 X X X X X X X X

Bank Copy

0 3 2 3 0 5 0 0 2 2 9 0
Trip Id / Reference No.

DD-MM-YYYY
Rs. Ps.

Depositors Name & Signature

Banks Acknowledgement
For Branch Use: Tran Id: Additional Informations:

TOTAL

If Cash > Rs. 50,000

JC/ SO:

PAN/GIR No.

A A C C C 6 0 1 6

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