Punjab National Bank. Huda Market, Gurgaon, Haryana. India. 243.00. Name &.
Address of the. Bank with. Account No. A/C No. 1527002108837341. Challan ...
(To be deposted with Form 'A' to Delhi Labour Welfare Board) Name & Address of the Bank with Account No.
Punjab National Bank A/C No. 1527002108837341
(Employer's Copy) Name & Address of the Bank with Account No.
Punjab National Bank A/C No. 1527002108837341
Period
Employer's Contribution
(b)
Employee's Contribution
(c)
Unpaid Accumulation
(d)
Interest
(e) Arrear (f) Others Total Rs.
Name & ABC Address of the XYZ Establishment Huda Market, Gurgaon, Haryana
01-2013/12-2013 Amount
Details of Payment
Amount
243.00
243.00
(a)
Employer's Contribution
81.00
(b)
Employee's Contribution
81.00
(b)
Employee's Contribution
0.00
(c)
Unpaid Accumulation
0.00
(c)
Unpaid Accumulation
0.00
(d)
Interest
0.00
(d)
Interest
0.00 0.00
(e) Arrear (f) Others
0.00 0.00
(e) Arrear (f) Others
324.00
ABC XYZ Huda Market, Gurgaon, Haryana India
Period 01-2013/12-2013
Employer's Contribution
Total Rs.
Dated : .................................... Name & Address of the Establishment
Period 01-2013/12-2013
(a)
324.00
Delhi Labour Welfare Board (Govt. of NCT of Delhi) Vikas Sadan, 2nd Floor Shamnath Marg, New Delhi - 110054
India
Details of Payment
Amount
Challan for Delhi Labour Welfare Fund
Dated : ....................................
India
India
Details of Payment
A/C No. 1527002108837341
Name & Punjab National Bank Address of the Bank with Account No. A/C No. 1527002108837341
Delhi Labour Welfare Board (Govt. of NCT of Delhi) Vikas Sadan, 2nd Floor Shamnath Marg, New Delhi - 110054
Name & ABC Address of the XYZ Establishment Huda Market, Gurgaon, Haryana
01-2013/12-2013
Punjab National Bank
Dated : ....................................
Dated : .................................... Name & ABC Address of the XYZ Establishment Huda Market, Gurgaon, Haryana
(Banker's Copy)
Challan for Delhi Labour Welfare Fund
Delhi Labour Welfare Board (Govt. of NCT of Delhi) Vikas Sadan, 2nd Floor Shamnath Marg, New Delhi - 110054
Delhi Labour Welfare Board (Govt. of NCT of Delhi) Vikas Sadan, 2nd Floor Shamnath Marg, New Delhi - 110054
(a)
Name & Address of the Bank with Account No.
Challan for Delhi Labour Welfare Fund
Challan for Delhi Labour Welfare Fund
Period
(Banker's Copy)
Total Rs.
Details of Payment (a)
Employer's Contribution
243.00
81.00
(b)
Employee's Contribution
81.00
0.00
(c)
Unpaid Accumulation
0.00
0.00
(d)
Interest
0.00
0.00 0.00
(e) Arrear (f) Others
0.00 0.00 Total Rs.
324.00
(Rs. in words) :Three Hundred Twenty Four
(Rs. in words) :Three Hundred Twenty Four
(Rs. in words) :Three Hundred Twenty Four
By Cash, Cheque, Bank Draft No.
By Cash, Cheque, Bank Draft No.
By Cash, Cheque, Bank Draft No.
By Cash, Cheque, Bank Draft No.
Drawn on
Drawn on
Drawn on
Drawn on
Dated
Dated
Dated
Dated
Stamp & Signature of Employer
Stamp & Signature of Employer
Amount
243.00
324.00
(Rs. in words) :Three Hundred Twenty Four Only
Stamp & Signature of Employer
Recieved
Recieved
Recieved
Recieved
Signature of Cashier
Signature of Cashier
Signature of Cashier
Signature of Cashier
Stamp of the Bank
Stamp of the Bank
Stamp of the Bank
Stamp of the Bank
Stamp & Signature of Employer
