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    Download as XLS, PDF, TXT or read online from Scribd
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    194 views2 pages

    New Microsoft Word Document

    Uploaded by

    Jinal

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ACG-17(Annexure - 1) AA ACG-17(Annexure - 1) AA

    Annexure – 1 Annexure – 1
    Department of Posts Department of Posts

    Dated _________________ Dated _________________


    Voucher No. ___________________ Voucher No. ___________________
    Received from ___________________________________ Received from ___________________________________
    _________________________________________________ _________________________________________________
    the sum of Rupees(in words) _______________________ the sum of Rupees(in words) _______________________
    _________________________________________________ _________________________________________________
    on account of _____________________________________ on account of _____________________________________
    _________________________________________________ _________________________________________________
    _________________________________________________ _________________________________________________
    _________________________________________________ _________________________________________________
    _________________________________________________ _________________________________________________
    (Details of transaction) (Details of transaction)
    Rs. _____________________________________________ Rs. _____________________________________________

    Signature of the agent Signature of the agent


    Name & Authority Name & Authority
    No. ______________ No. ______________
    Certified that the amount mentioned above has been Certified that the amount mentioned above has been
    paid to the proper person and the cheque for the paid to the proper person and the cheque for the
    amount of Rs. ________________ was realised and amount of Rs. ________________ was realised and
    accounted for in the HO on dated ____________ accounted for in the HO on dated ____________

    Dated Dated

    Signature of Head /Sub / Branch Signature of Head /Sub / Branch


    Postmaster with stamp Postmaster with stamp
    Note: If the amount to be paid is more than Rs. 500/- Note: If the amount to be paid is more than Rs. 500/-
    a revenue stamp of one rupee must be affixed a revenue stamp of one rupee must be affixed
    by the agent. by the agent.

    PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms

    ACG-17(Annexure - 1) AA ACG-17(Annexure - 1) AA

    Annexure – 1 Annexure – 1
    Department of Posts Department of Posts
    PAN NO. AHHPS5923H PAN NO. AHHPS5923H
    Dated _________________ Dated _________________
    Voucher No. ___________________ Voucher No. ___________________
    Received from ___________________________________ Received from ___________________________________
    _________________________________________________ _________________________________________________
    the sum of Rupees(in words) _______________________ the sum of Rupees(in words) _______________________
    _________________________________________________ _________________________________________________
    on account of _____________________________________ on account of _____________________________________
    _________________________________________________ _________________________________________________
    _________________________________________________ _________________________________________________
    _________________________________________________ _________________________________________________
    _________________________________________________ _________________________________________________
    (Details of transaction) (Details of transaction)
    Rs. _____________________________________________ Rs. _____________________________________________

    Signature of the agent Signature of the agent


    Name & Authority Name & Authority
    No. ______________ No. ______________
    Certified that the amount mentioned above has been Certified that the amount mentioned above has been
    paid to the proper person and the cheque for the paid to the proper person and the cheque for the
    amount of Rs. ________________ was realised and amount of Rs. ________________ was realised and
    accounted for in the HO on dated ____________ accounted for in the HO on dated ____________

    Dated Dated

    Signature of Head /Sub / Branch Signature of Head /Sub / Branch


    Postmaster with stamp Postmaster with stamp
    Note: If the amount to be paid is more than Rs. 500/- Note: If the amount to be paid is more than Rs. 500/-
    a revenue stamp of one rupee must be affixed a revenue stamp of one rupee must be affixed
    by the agent. by the agent.

    PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms

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