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    Esic Challan

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    rgsr2008
    This document is a challan form from the Employees' State Insurance Corporation for depositing contributions into account number 1. It contains fields for the employer code, factory name and address, bank and branch code, payment mode and details like number of employees, contribution amounts, total wages, payment total, authorized signatures, and acknowledgment of receipt. The form is dated for the month of January 2009.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd

    Esic Challan

    Uploaded by

    rgsr2008
    2K views7 pages
    This document is a challan form from the Employees' State Insurance Corporation for depositing contributions into account number 1. It contains fields for the employer code, factory name and address, bank and branch code, payment mode and details like number of employees, contribution amounts, total wages, payment total, authorized signatures, and acknowledgment of receipt. The form is dated for the month of January 2009.

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    ESI

    Original Title

    ESIC CHALLAN

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    © Attribution Non-Commercial (BY-NC)

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    This document is a challan form from the Employees' State Insurance Corporation for depositing contributions into account number 1. It contains fields for the employer code, factory name and address, bank and branch code, payment mode and details like number of employees, contribution amounts, total wages, payment total, authorized signatures, and acknowledgment of receipt. The form is dated for the month of January 2009.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    2K views7 pages

    Esic Challan

    Uploaded by

    rgsr2008
    This document is a challan form from the Employees' State Insurance Corporation for depositing contributions into account number 1. It contains fields for the employer code, factory name and address, bank and branch code, payment mode and details like number of employees, contribution amounts, total wages, payment total, authorized signatures, and acknowledgment of receipt. The form is dated for the month of January 2009.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 7

    EMPLOYEES' STATE INSURANCE CORPORATION

    Challan Form for Deposit in A/C No. 1


    Date Month Year

    EMPLOYEES' STATE INSURANCE CORPORATION


    Challan Form for Deposit in A/C No. 1
    0 Date Month Year

    Employer's Code Name of Factory/Estt. & Address

    Bank & Branch Code

    Employer's Code Name of Factory/Estt. & Address

    Bank & Branch Code 0 0 0 Cash .. Cheque *. D.D. .. Dated Period of Contribution
    0

    Mode of Payment [ Tick (p ) mode used] Cheque/DD No. Drawn on (Name of the Bank). Details of Payment [Tick (p ) mode used] No. of Employees Employees Contribution Employer's Contribution #Interest #Damages #Others Total 0

    Cash .. Cheque *. D.D. .. Dated Period of Contribution

    Mode of Payment [ Tick (p ) mode used] Cheque/DD No. Drawn on (Name of the Bank). Details of Payment [Tick (p ) mode used] No. of Employees Employees Contribution Employer's Contribution #Interest #Damages #Others Total

    Regular Contribution. Interest Damages .. Others

    Regular Contribution. Interest Damages .. Others

    Total Wages

    0 0 0

    Total Wages

    Total amount (in words) #R.O. Demand Letter No. & Date

    Total amount (in words) #R.O. Demand Letter No. & Date

    Signature __________________________________________ Name & Designation - Seal of Authorised Signatory

    Signature __________________________________________ Name & Designation - Seal of Authorised Signatory

    (Acknowledgment) (to be filled by Depositor) Received Rs. (Rs. ______________________________________________ Only) In Cash/by Cheque/DD No. Dated (subject to Realisation) drawn on (Bank) in favour of ESIC A/C No.1 For use in Bank Bank Scroll No. . Dated .. Authorised Signature & Seal of the Receiving Bank (to be filled by Depositor)

    (Acknowledgment) For use in Bank Bank Scroll No. . Dated .. Authorised Signature & Seal of the Receiving Bank

    Received Rs. (Rs. ______________________________________________ Only) In Cash/by Cheque/DD No. Dated (subject to Realisation) drawn on (Bank) in favour of ESIC A/C No.1

    EMPLOYEES' STATE INSURANCE CORPORATION


    Challan Form for Deposit in A/C No. 1
    Date .. M onth Year

    EMPLOYEES' STATE INSURANCE CORPORATION


    Challan Form for Deposit in A/C No. 1
    0 .. Date M onth Year

    Employer's Code

    Bank & Branch Code

    Employer's Code

    Bank & Branch Code 0 0 0 Cash .. Cheque *. D.D. .. Dated Period of Contribution

    Name of Factory/Estt. & Address

    Name of Factory/Estt. & Address

    M ode of Payment [ Tick (p ) mode used] Cheque/DD No. Drawn on (Name of the Bank). Details of Payment [Tick (p ) mode used] No. of Employees Employees Contribution Employer's Contribution #Interest #Damages #Others Total 0

    Cash .. Cheque *. D.D. .. Dated Period of Contribution


    JANUARY 2009

    M ode of Payment [ Tick (p ) mode used] Cheque/DD No. Drawn on (Name of the Bank). Details of Payment [Tick (p ) mode used] No. of Employees Employees Contribution Employer's Contribution #Interest #Damages #Others Total

    Regular Contribution. Interest Damages .. Others

    Regular Contribution. Interest Damages .. Others

    Total Wages

    0 0 0

    Total Wages

    Total amount (in words) #R.O. Demand Letter No. & Date

    Total amount (in words) #R.O. Demand Letter No. & Date

    S ignature __________________________________________ Name & Designation - Seal of Authorised Signatory

    S ignature __________________________________________ Name & Designation - Seal of Authorised Signatory

    (Acknowledgment) (to be filled by Depositor) Received Rs. (Rs. ______________________________________________ Only) In Cash/by Cheque/DD No. Dated (subject to Realisation) drawn on (Bank) in favour of ESIC A/C No.1 For use in Bank Bank Scroll No. . Dated .. Authorised Signature & Seal of the Receiving Bank (to be filled by Depositor)

    (Acknowledgment) For use in Bank Bank Scroll No. . Dated .. Authorised Signature & Seal of the Receiving Bank

    Received Rs. (Rs. ______________________________________________ Only) In Cash/by Cheque/DD No. Dated (subject to Realisation) drawn on (Bank) in favour of ESIC A/C No.1

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