Chalan For Payment Of Money Into The District Treasury/sub Treasury
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1
2GOVERNMENT OF KERALA
GOVERNMENT OF KERALA
GOVERNMENT OF KERALA
CHALAN
ORIGINAL
CHALAN
DUPLICATE
FORM T.R. 12
FORM T.R. 12
CHALAN
TRIPLICATE
FORM T.R. 12
( See Rules 102 (c) & 124 of Kerala Treasury Code)
( See Rules 102 (c) & 124 of Kerala Treasury Code)
Chalan for Payment of Money into the
Chalan for Payment of Money into the
( See Rules 102 (c) & 124 of Kerala Treasury Code)
Chalan for Payment of Money into the
District Treasury / Sub Treasury
District Treasury / Sub Treasury
District Treasury / Sub Treasury
State Bank of India / State Bank of Travancore
State Bank of India / State Bank of Travancore
State Bank of India / State Bank of Travancore
At .....................................................................................
At .....................................................................................
At .....................................................................................
Computer Seq
Computer Seq
Date:
Date:
/
/
: No:
Date:
/
/
: No:
Date:
Computer Seq
Date:
: No:
Date:
/
/
Head of Account:
Head of Account:
Head of Account:
Maj :
Smj:
Min:
Sub:
Subsub:
Maj :
Smj:
Min:
Sub:
Subsub:
*DDO Code:
(Dept)
(DDO)
*DDO Code:
(Dept)
(DDO)
Maj :
Smj:
Min:
Sub: Subsub:
*DDO Code:
(Dept)
(DDO)
*SDO Code:
*SDO Code:
*SDO Code:
By whom paid &Name &
Purpose of
By whom paid &Name &
Purpose of
Amount in
Order to
Amount in
Order to
address of the person on whose
remittance &
address of the person on whose
remittance &
By whom paid &Name &
Purpose of
Amount in
Order to
Rs
the Bank
Rs
the Bank
behalf money is paid
authority, if any
behalf money is paid
authority, if any
address of the person on whose
remittance &
Rs
the Bank
behalf money is paid
authority, if any
Correct
Correct
Correct
Receive
Receive
and grant
and grant
Receive
receipt
receipt
and grant
receipt
Treasury
Treasury
Officer
Officer
Treasury
Officer
Total
Total
Total
Total in words ..................................................................
Total in words ..................................................................
Total in words ..................................................................
Signature of Remitter:
Signature of Remitter:
Signature of Remitter:
Received Rs ............................
Received Rs ............................
Received Rs ............................
(Rupees.................................................................................
(Rupees...................................................................................
(Rupees................................................................................
.............................................only)
...........................................only)
..............................................only)
Sea
Sea
Date:........./........./............
Date:........./........./............
Sea
l
l
Date:........./........./............
l
Signature of Treasurer/ Cashier Treasury Officer / Bank Manager
Signature of Treasurer/ Cashier
Treasury Officer / Bank Manager
Note:
Note:
Signature of Treasurer/ Cashier Treasury Officer / Bank Manager
Note:
1.The seal / stamp of the Treasury / Bank of collection shall be
1.The seal / stamp of the Treasury / Bank of collection shall be
affixed.
affixed.
1.The seal / stamp of the Treasury / Bank of collection shall be
affixed.
2. If remittance is in official capacity (*SDO/DDO),write
2. If remittance is in official capacity (*SDO/DDO),write
2. If remittance is in official capacity (*SDO/DDO),write
corresponding code in the column provided.
corresponding code in the column provided.
corresponding code in the column provided.
3. If loan repayment of SDO, write installment number in purpose
3. If loan repayment of SDO, write installment number in purpose
3. If loan repayment of SDO, write installment number in purpose
column.
column.
column
.
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