Counterfoil (1) Subscriber's Copy Public Provident Fund Scheme, Name of Accounts Office Account No..... Date .... Ledger Folio ...... Name of Subscriber ........ Amount Deposited Cash/Cheque (Rs.) Subscription .......... Loan repayment .......... Interest on loan .......... Fee ............. . Total ............. Rupees (in words) ......... ............. .... Counterfoil (2) Agent's Copy Name of Agent ........ Code No........ Public Provident Fund Scheme, 1968 Name of Accounts Office Account No..... Date .... Ledger Folio ...... Name of Subscriber ........ Amount Deposited Cash/Cheque (Rs.) Subscription .......... Loan repayment .......... Interest on loan .......... Fee ............. . Total ............. Rupees (in words) ......... ............. .... FORM B CENTRAL [See sub paragraph (3) of paragraph 4] Name of Agent ...... Paper Toke No... Code No.......... PUBLIC PROVIDENT FUND SCHEME, 1968 Challan for deposit of money into Government Account ....... (name of Accounts Office) Account No....... Date ....... Name of Subscriber ..... Ledger Folio .. Address ............... Cas Amou h nt 100 x 50 x 20 x 10 x 5 x * Cheque/draft/ Postal Order Total Amount (in figures) Subscripti on Loan Repaymen t Interest on loan Fee Head of Govt Accoun t 8006 -Public Provide nt Fund' 2049 -Interest Receipt s' Other Receipt s * Bank/PO on which drawn ...... Number ..... Rupees (in words) By (Depositor's Signature)
