FORM -2

(See Rule 5 of Government Savings Promotion Rules, 2018)

Pay-in-slip

Deposit (Pay in)

Deposit (Counterfoil)

Name of the Saving

Name of the Saving Scheme.......................................................................
Scheme............................................... ....................................

Name of the Post Office./Bank Name of the Post

Branch.............................................................. Office//Bank.Branch.....................................................
.................... ......................................

Date :
……………………...
Account No : Account No. ................................
……………………….................................... ………………………......... ........

Date :
……………………............................................. Paid into the credit of …………………………...
...... …………………………..……….....................

Paid into the credit Rupees In

of..................................................... words…………………..................................................
..................................................

.....................................................................................
......................................................................
Rupees.............................................................
...... Rs. in
figures……………………………………………………
……...............................................
Being deposit or refund or fee
for ..............................
Being deposit or refund or fee
for ................................................................................
..........

ByCheque By Cash
No…………………… Details Cash
By/ChequeNo………….............Dated........
Details :
Dated:....................... ................................... …………
………….
Drawn On.................. Drawn On……......................... ................
................
.............
................................... ....................................................

...................................
 Depositor Name &
Address:...........
....................................
....................
Depositor
Name.................................................................Addre
ss...................................................

.................................... ......................................................Contact...................
.................... ................Signature................................

(Subject to realisation)

SB
Assistant /
SB
Cashier…
Seal/date Stamp Assistant/Cashier.........
Seal/date Stamp ……………
.................................... …………....
..... ........