TR-6 Challan for Deposit of PERSONAL PENALTY

T.R – 6 CHALLAN (037)

(Treasury Rule 92)	Challan No.Nil date : 19.05.2016	Original/Duplicate/Triplicate/Quadruplicate
Challan of amount paid into the State Bank of India, MainBranch At Mangaldeep Building, Siliguri.		Accounting Collectorate/Office Commissionerate –LR
Name and address of Depositor:		Division: ______________ Customs Division
	Shri , , , ,	Code:- LR01 A/C No. 00000000
By whom tendered:	Shri Any One

Full particulars of the remittance and of authority if any

Head of account Major Head – 037 – Customs Minor Head (Indicate below the appropriate head from the list under reverse)

Amount tendered

Counter Signature of the Departmental Officer(if required)

Cash

by Cheque, Draft, Pay Order etc.

Rs.

P

Rs.

P

Deposition of 7.5% of personal penalty as imposed Rs. 3,00,000/- arising out of order-in-original No.

Personal penalty (0062)

22,500

00

Total

22,500

00

(In words) (Rupees twenty five thousand and five hundred) only

Date:

Signature of the tendered

(To be filled to by the Bank)

Received payment (In words) Rupees_________________________________________

Date: _______________________

Bank’s Receipt Stamp

Signature of the authorized Officer of the Bank Name of the Branch

Please Fill up the Form and Press the Print Button To Print
EXCEL FORMAT OF THE TR-6 CAN BE FILLED UP HERE