GOVERNMENT OF KERALA

Chalan for Payment of Money into District Treasury Sub Treasury

!ate "an# of $n%ia !tate &an# of Tra'ancore
at Cherthala(
CHALAN OR$G$NAL
FORM T( R( )*
+!ee Rules ),*-c. / )*0 of Kerala Treasury Co%e1
Com2uter se3(
No(

4ea% of Account 5
6DDO Co%e5 -De2t(.
6!DO Co%e5
Date5
MA7 !M7 M$N !8" DET O"7 !O"7
-DDO.
"y 9hom 2ai% an%
Name an% A%%ress
of the 2erson on
9hose &ehalf
money is 2ai%
Pur2ose of
remittance /
authority( $f any
Amount
in Rs(
Or%er to
the &an#
GOVERNMENT OF KERALA
CHALAN D8PL$CATE
FORM T( R( )*
+!ee Rules ),*-c. / )*0 of Kerala Treasury Co%e1
Chalan for Payment of Money into District Treasury Sub Treasury
!ate "an# of $n%ia !tate &an# of Tra'ancore
at Cherthala(
Com2uter se3(
No(

4ea% of Account 5
6DDO Co%e5 -De2t(.
6!DO Co%e5
Date5
MA7 !M7 M$N !8" DET O"7 !O"7
-DDO.
"y 9hom 2ai% an%
Name an% A%%ress
of the 2erson on
9hose &ehalf
money is 2ai%
Pur2ose of
remittance /
authority( $f any
Amount
in Rs(
Or%er to
the &an#
GOVERNMENT OF KERALA
CHALAN TR$PL$CATE
FORM T( R( )*
+!ee Rules ),*-c. / )*0 of Kerala Treasury Co%e1
Chalan for Payment of Money into District Treasury / Sub Treasury
!ate "an# of $n%ia !tate &an# of Tra'ancore
at Cherthala.
Com2uter se3(
No(

4ea% of Account 5
6DDO Co%e5 -De2t(.
6!DO Co%e5
Date5
MA7 !M7 M$N !8" DET O"7 !O"7
-DDO.
"y 9hom 2ai% an%
Name an% A%%ress
of the 2erson on
9hose &ehalf
money is 2ai%
Pur2ose of
remittance /
authority( $f any
Amount
in Rs(
Or%er to
the &an#

CORRECT
Recei'e
an%
:rant
recei2t

Recei'e
an%
:rant
recei2t
CORRECT
Recei'e
an%
:rant
recei2t
CORRECT
Recie'e% Rs
Total
Total in 9or%s Rs(
!i:nature /
Desi:nation of the
De2artmental
o;cer
countersi:nin: the
remittance
!i:nature /
Desi:nation of the
De2artmental
o;cer
countersi:nin: the
remittance
!i:nature /
Desi:nation of the
De2artmental
o;cer
countersi:nin: the
remittance Total Total
Treasury
O;cer
Signature of Remitter
Date
Signature of Treasurer/Cashier Treasury Ofcer/Bank Manager
)( The sealstam2 of the Treasury"na# of Collection shall &e a;<e%(
*( $f remittance is in o;cial ca2acity -6!DODDO.= 9rite corres2on%in: co%e
in the column 2ro'i%e%(
>( if loan re2ayment of !DO= 9rite instalment num&er in 2ur2ose column(
*??@*,,A( D(T(P( ), La#hs( G(P(! Go't( of Kerala
Note:
Signature of Remitter
Date (
Signature of Treasurer/Cashier Treasury Ofcer/Bank Manager
)( The sealstam2 of the Treasury"na# of Collection shall &e a;<e%(
*( $f remittance is in o;cial ca2acity -6!DODDO.= 9rite corres2on%in: co%e
in the column 2ro'i%e%(
>( if loan re2ayment of !DO= 9rite instalment num&er in 2ur2ose column(
*??@*,,A( D(T(P( ), La#hs( G(P(! Go't( of Kerala
Note:
Signature of Remitter
Date (
Signature of Treasurer/Cashier Treasury Ofcer/Bank Manager
)( The sealstam2 of the Treasury"na# of Collection shall &e a;<e%(
*( $f remittance is in o;cial ca2acity -6!DODDO.= 9rite corres2on%in: co%e
in the column 2ro'i%e%(
>( if loan re2ayment of !DO= 9rite instalment num&er in 2ur2ose column(
*??@*,,A( D(T(P( ), La#hs( G(P(! Go't( of Kerala
Note:
!eal !eal
!eal
Recie'e% Rs Recie'e% Rs
Total in 9or%s Rs Total in 9or%s Rs(
Treasury
O;cer
Treasury
O;cer
This computer output is taken at the Cherthala South Grama Panchayat using the application Sthapana developed and supported by Information Kerala Mission. !"!#"# "$%$%&PM
Currency Notes Amount in Rs( No( Ps(
REVER!E OF FORM T(R()*
PARTICULARS OF MONEY PAI
Rs(),,,
Rs( ?,,
Rs( ),,
Rs( ?,
Rs( *,
Rs( ),
Rs( ?
Rs( )
Total Notes ..
Coins
Rs( *
Ps( ?,
Rs( )
Rs( *
Rs( ?
Rs(),
Ps( *?
Ps( *,
Ps( ),
Ps( ?
Ps( *
Ps( )
Total Co!"s ..
#ra"$ Total ..
REVER!E OF FORM T(R()*
Currency Notes Amount in Rs( No( Ps(
PARTICULARS OF MONEY PAI
Rs(),,,
Rs( ?,,
Rs( ),,
Rs( ?,
Rs( *,
Rs( ),
Rs( ?
Rs( )
Total Notes ..
Coins
Rs( *
Ps( ?,
Rs( )
Rs( *
Rs( ?
Rs(),
Ps( *?
Ps( *,
Ps( ),
Ps( ?
Ps( *
Ps( )
Total Co!"s ..
#ra"$ Total ..
REVER!E OF FORM T(R()*
Currency Notes Amount in Rs( No( Ps(
PARTICULARS OF MONEY PAI
Rs(),,,
Rs( ?,,
Rs( ),,
Rs( ?,
Rs( *,
Rs( ),
Rs( ?
Rs( )
Total Notes ..
Coins
Rs( *
Ps( ?,
Rs( )
Rs( *
Rs( ?
Rs(),
Ps( *?
Ps( *,
Ps( ),
Ps( ?
Ps( *
Ps( )
Total Co!"s ..
#ra"$ Total ..
This computer output is taken at the Cherthala South Grama Panchayat using the application Sthapana developed and supported by Information Kerala Mission. !"!#"# "$%$%&PM