Echallan AS004180299202425 P

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CHALLAN

TR Form -5(a)

GRN AS004180299202425P BARCODE Date 30/09/2024-18:50:39 Form ID

Department Police - Director-General Payer Details

Police - Fees Fines and Forfeitures


TAX ID (If Any)
Type of Payment
PAN No.(If Applicable)

Office Name POLICE STATION RANGIA Full Name RATISH KUMAR ROY

Location Kamrup

Year 2023-2024 From 01/04/2023 To 31/03/2024 Flat/Block No.

Account Head Details Amount In Rs. Premises/Building

0055-00-103-0000-000 300.00 Road/Street


Fees,fines And Forfeitures

Area/Locality

Town/City/District

PIN

Remarks (If Any)

Verification - Private Employment

Amount In Three Hundred Rupees Only

Total 300.00 Words

Payment Details SBI PAYMENT GATEWAY (Charges Applicable) FOR USE IN RECEIVING BANK

Cheque-DD Details Bank CIN Ref. No. 10004672024093008367 3392244607835

Cheque/DD No. Bank Date RBI Date 30/09/2024 18:51:19 Not Verified with RBI

Name of Bank Bank-Branch SBI PAYMENT GATEWAY (Charges Applicable)

Name of Branch Scroll No. , Date 1016405 , 04/10/2024

Department ID : POL66faa59f9e7f7 Mobile No. : 7002801755

Page 1/1 Print Date 30-11-2024 03:46:55

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