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ACG-17(Annexure - 1) AA ACG-17(Annexure - 1) AA

Annexure – 1 Annexure – 1
Department of Posts Department of Posts

Dated _________________ Dated _________________


Voucher No. ___________________ Voucher No. ___________________
Received from ___________________________________ Received from ___________________________________
_________________________________________________ _________________________________________________
the sum of Rupees(in words) _______________________ the sum of Rupees(in words) _______________________
_________________________________________________ _________________________________________________
on account of _____________________________________ on account of _____________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
(Details of transaction) (Details of transaction)
Rs. _____________________________________________ Rs. _____________________________________________

Signature of the agent Signature of the agent


Name & Authority Name & Authority
No. ______________ No. ______________
Certified that the amount mentioned above has been Certified that the amount mentioned above has been
paid to the proper person and the cheque for the paid to the proper person and the cheque for the
amount of Rs. ________________ was realised and amount of Rs. ________________ was realised and
accounted for in the HO on dated ____________ accounted for in the HO on dated ____________

Dated Dated

Signature of Head /Sub / Branch Signature of Head /Sub / Branch


Postmaster with stamp Postmaster with stamp
Note: If the amount to be paid is more than Rs. 500/- Note: If the amount to be paid is more than Rs. 500/-
a revenue stamp of one rupee must be affixed a revenue stamp of one rupee must be affixed
by the agent. by the agent.

PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms

ACG-17(Annexure - 1) AA ACG-17(Annexure - 1) AA

Annexure – 1 Annexure – 1
Department of Posts Department of Posts
PAN NO. AHHPS5923H PAN NO. AHHPS5923H
Dated _________________ Dated _________________
Voucher No. ___________________ Voucher No. ___________________
Received from ___________________________________ Received from ___________________________________
_________________________________________________ _________________________________________________
the sum of Rupees(in words) _______________________ the sum of Rupees(in words) _______________________
_________________________________________________ _________________________________________________
on account of _____________________________________ on account of _____________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
(Details of transaction) (Details of transaction)
Rs. _____________________________________________ Rs. _____________________________________________

Signature of the agent Signature of the agent


Name & Authority Name & Authority
No. ______________ No. ______________
Certified that the amount mentioned above has been Certified that the amount mentioned above has been
paid to the proper person and the cheque for the paid to the proper person and the cheque for the
amount of Rs. ________________ was realised and amount of Rs. ________________ was realised and
accounted for in the HO on dated ____________ accounted for in the HO on dated ____________

Dated Dated

Signature of Head /Sub / Branch Signature of Head /Sub / Branch


Postmaster with stamp Postmaster with stamp
Note: If the amount to be paid is more than Rs. 500/- Note: If the amount to be paid is more than Rs. 500/-
a revenue stamp of one rupee must be affixed a revenue stamp of one rupee must be affixed
by the agent. by the agent.

PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms PSD / AHD / Swift – 300 /EP.54 / 2000-01 / 15,00,000 Forms

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