Cash Remittance Form

Company Name(s): 
Documents: 

INTEGRAL COACH FACTORY, CHENNAI-38
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A.C.C/Chennai - 38

Please receive a sum of Rs. (Rupees) with reference to the particulars detailed below:

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Departmental Head of Amount

BRIEF PARTICULARS lr.ref.if any Account Rs. Ps. CO6,CO7,Vr.No. to be credited ---------------------------------------------------------------

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Total ----------------------------------------------------------------------------- Certified in the ICF under receipt No. _____________ dt.

Signature of the employee:

Name :

Emp.No:

T.No. :

Signature of ACC

INTEGRAL COACH FACTORY, CHENNAI-38.

---------------------------------

A.C.C/Chennai - 38

Please receive a sum of Rs. (Rupees) with reference to the particulars detailed below:

---------------------------------------------------------------

Departmental Head of Amount

BRIEF PARTICULARS lr.ref.if any Account Rs. Ps. CO6,CO7,Vr.No. to be credited ---------------------------------------------------------------
-------------

Total

-------------

----------------------------------------------------------------

Certified in the ICF under receipt No._____________ dt.

Signature of the:

employee:

Name :

Emp.No:

T.No. :

Signature of ACC