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BF Claim Form For SBI Loan and Other Services - aisect

BF Claim Form For SBI Loan and Other Services - aisect

BF Claim Form For SBI Loan and Other Services - aisect

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CLAIM FORM<br />

(To be submitted in duplicate to the Branch Manager of the Branch<br />

where the business has been booked)<br />

CLAIM FORM FOR REMUNERATION PAYABLE TO THE BUSINESS<br />

CORRESPONDENT FOR THE MONTH OF April’ 2011<br />

FORM<br />

AT III<br />

Name of Business Correspondent: ALL INDIA SOCIETY FOR<br />

ELECTRONIC & COMPUTER TECHNOLOGY. ( AISECT )<br />

District DAMOH<br />

Code No. allotted by Bank: 32810000<br />

Work performed by <strong>BF</strong> during the month (As per enclosed sheet)<br />

I certify that the information furnished in the statement is true to the best of<br />

my acknowledge <strong>and</strong> information <strong>and</strong> the business mentioned above has<br />

been booked by me as per details given in enclosed statement.<br />

(Signature of BC)<br />

The claim has been scrutinized <strong>and</strong> found in order. Recommended for<br />

sanction of payment<br />

Rs , . ………….. (Rupees) Fill the Amount in words only<br />

(Channel Manager/CMA)<br />

Branch MANAGER<br />

Sanctioned Payment of<br />

Rs_______________(Rupees___________________________________<br />

_____________________)<br />

by debit to branch Charges Account(Sundries).Appropriate TDS to be<br />

deducted before effecting payment.<br />

Branch Manager/Regional Manager/Dy. General Manager

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