Pfms 1
Pfms 1
S
M
PF
To,
The Branch Head
We authorise the bank to debit our undernoted account maintained with the bank with batch amount and
credit the beneficiary(ies) [#1] as per ANNEXURE-I uploaded to bank's central system through PFMS
O/o CGA.
Bank Account No.
Total Amount of Debit : Rs4500.00
0574040510000007
(Amount in words : Four Thousand Five Hundred )
No. Of Beneficiaries as per
Batch No. C032358676130
Annexure-I.
Agency Seal
.................................................. ..................................................
(Sign by Authorized
Signatory) (Sign by Authorized Signatory)
Name -
________________________ Name - ________________________
Designation -
___________________ Designation - ___________________
Mobile No -
____________________ Mobile No - ____________________