Challan for Delhi Labour Welfare Fund Challan for Delhi ... - Servagya

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Punjab National Bank. Huda Market, Gurgaon, Haryana. India. 243.00. Name &. Address of the. Bank with. Account No. A/C No. 1527002108837341. ChallanĀ ...
(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