Particular of

 

Credits

Debits

 

Remarks

Sr.

the Account

Opening

Closing

No.

Name of the

Code no.

Balance

Amount

Source of

Cheque

Amount

Name of

Balance

 

 

account

 

Rs.

Rs.

funds

Number

Rs.

the payee

Rs

 

 

holder

 

 

 

 

 

 

 

 

 

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

 Place:

  

 .....................

Stamp

 

...........................................................

Date:

......................

 

 

 

(Signature of Authorised Official)

 

 

 

 

 

Name .................................................

 

 

 

 

 

Designation .......................................

 

 

 

 

 

Name and Address

 

 

 

 

 

of Authorised Dealer ........................