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Form-D (Deposit Slip)

This document is a pay-in slip for deposits under the Senior Citizens Savings Scheme, 2004. It contains details of the depositor such as name, address, account number. It also contains details of the deposit amount whether it is cash, cheque or demand draft. There are two counterfoils, one for the depositor and one for the bank's copy that contains the same details. The depositor signs the slip to acknowledge depositing the specified amount into their SCSS account at the bank branch.

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1K views

Form-D (Deposit Slip)

This document is a pay-in slip for deposits under the Senior Citizens Savings Scheme, 2004. It contains details of the depositor such as name, address, account number. It also contains details of the deposit amount whether it is cash, cheque or demand draft. There are two counterfoils, one for the depositor and one for the bank's copy that contains the same details. The depositor signs the slip to acknowledge depositing the specified amount into their SCSS account at the bank branch.

Uploaded by

nananana
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
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FORM-D

(See sub-rule (1) of rule 3 and rule 10)


PAY – IN – SLIP FOR DEPOSITS
UNDER SENIOR CITIZENS SAVINGS SCHEME, 2004
COUNTERFOIL – 1 COUNTERFOIL-2

DEPOSITOR’S COPY BANK’S COPY


SBI BRANCH NAME : SBI BRANCH NAME :
NAME & ADDRESS OF DEPOSITOR: NAME & ADDRESS OF DEPOSITOR:
__________________________________________ __________________________________________
__________________________________________ __________________________________________

FATHER/HUSBAND NAME : FATHER/HUSBAND NAME :

SCSS A/C NO : SCSS A/C NO :

AMOUNT OF DEPOSIT AMOUNT OF DEPOSIT

CHEQUE / DD REALISATION CHARGE CHEQUE / DD REALISATION CHARGE

ACCOUNT TRANSFER FEES ACCOUNT TRANSFER FEES

DUPLICATE PASSBOOK FEES DUPLICATE PASSBOOK FEES

OTHER CHARGES IF ANY OTHER CHARGES IF ANY

TOTAL AMOUNT TOTAL AMOUNT

(Rupees________________________________ (Rupees________________________________
_________________________) _____________________________)
DETAILS OF CASH DEPOSIT AMOUNT DETAILS OF CASH DEPOSIT AMOUNT
1000 X 1000 X
500 X 500 X
100 X 100 X
50 X 50 X
20 X 20 X
10 X 10 X
Total By Cash Total By Cash
Cheque / Demand Draft No & Date Cheque / Demand Draft No & Date
……………………….. & ……/……/20……… ……………………….. & ……/……/20………
Bank / Branch on Which Drawn Bank / Branch on Which Drawn
…………………………………………………………………………. ………………………………………………………………………….

Depositor’s Signature Depositor’s Signature


For the Use of Branch For the Use of Branch

Received ________ (Rupees _____________ Received ________ (Rupees _____________


_______________________________Only) as _______________________________Only) as
detailed herein above. For deposit in SCSS detailed herein above. For deposit in SCSS
A/c No ________________ A/c No ________________

Teller /Cashier Service Manager Teller /Cashier Service Manager


NOTE: NOTE:
1. The cheque/demand draft should be in favour of the 1. The cheque/demand draft should be in favour of the
“YOURSELF FOR SCSS DEPOSIT” or in favour of the “YOURSELF FOR SCSS DEPOSIT” or in favour of the
“Depositor SCSS A/c” endorsed in favour of the SBI. “Depositor SCSS A/c” endorsed in favour of the SBI.
2. Cheques / Demand Drafts are subject to realisation of 2. Cheques / Demand Drafts are subject to realisation of
the proceeds. the proceeds.

SBI FORMS BY 4577825

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