Bank Copy Depositors Copy

Employee's State Insurance Corporation Employee's State Insurance Corporation

State Bank of India State Bank of India

(CHALLAN CAN BE USE CBS SCREEN No :- (CHALLAN CAN BE USE CBS SCREEN No :-
SUBMITTED AT ANY SBI SUBMITTED AT ANY SBI
BRANCH) 7127 BRANCH) 7127
Challan No. : 05111102367922 Challan Date : 12/3/2011 Challan No. : 05111102367922 Challan Date : 12/3/2011

Party code : 51000589560000506 Party code : 51000589560000506

Name of Name of TULSYAN NEC LTD
TULSYAN NEC LTD
Factory/Estt./Party : Factory/Estt./Party :
D-4 SIPCOT INDL COMPLEX
Address: GUMMUDIPOONDI - 601 201
Address: D-4 SIPCOT INDL COMPLEX
GUMMUDIPOONDI - 601 201
Mode of Payment Cheque
Cheque/DD No : 600444 Dated : 9/3/2011
Mode of Payment Cheque
Cheque/DD No : 600444 Dated : 9/3/2011 Drawn on (Name of the Bank) : Canara Bank,Sowcarpet
Drawn on (Name of the Bank) : Canara Bank,Sowcarpet Remittance Details
Type Amount Periods
Remittance Details Advanced Contribution 0
Contribution 140982 Feb2011
Total 140982
C-18 Actual 0
Total (in words) Rupees One Lakh Forty Thousand Nine Hundred Eighty-Two C-18 Adhoc 0
Only Order u/s 45-A 0
Denomination 1000 X C-18( I ) 0
500 X D-18 0
Order u/s 85-B 0
100 X
50 X C-19
20 X C-19(i)
D-19
10 X
5X Lost of ID card
2X Recovery 0
Others 0
1X
Total Total 140982
Total (in words) Rupees One Lakh Forty Thousand Nine Hundred
(For Bank's use) (For Bank's use) Eighty-Two Only
Deposited Date:
Deposited Date: D D M M Y Y Y Y
D D M M Y Y Y Y
Journal No.
Journal No.

Branch Stamp and Signature of Cashier Branch Stamp and Signature of Cashier
Notes : Notes :
1)No Charges/Commission to be charged from the depositor 1)No Charges/Commission to be charged from the depositor