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Form2016 Forweb

This document provides instructions and a form for depositing Haj pilgrimage processing fees into a bank account. The form is a pay-in slip with fields for passport number, names of pilgrims, amounts deposited in cash denominations, transaction ID, and bank signature and stamp. Instructions specify a Rs. 300 fee per pilgrim and Rs. 1,500 maximum that can be deposited using this form at designated bank branches and accounts.

Uploaded by

Mohideen Sikander
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
47 views4 pages

Form2016 Forweb

This document provides instructions and a form for depositing Haj pilgrimage processing fees into a bank account. The form is a pay-in slip with fields for passport number, names of pilgrims, amounts deposited in cash denominations, transaction ID, and bank signature and stamp. Instructions specify a Rs. 300 fee per pilgrim and Rs. 1,500 maximum that can be deposited using this form at designated bank branches and accounts.

Uploaded by

Mohideen Sikander
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(PAY-IN-SLIP to deposit Rs.300/- per pilgrim and maximum of Rs.

1,500/- only)
Branch :

Code :

BANK COPY

HAJ COMMITTEE OF INDIA

HAJ 1437 (H) - 2016 (CE)


COLLECTION - DETAILS
ACCOUNT NUMBER : 35398104789 HAJ PILGRIM PROCESSING FEE COLLECTION - 2016
PASSPORT NUMBER OF COVER HEAD
Name of Cover Head
Date of Deposit :

- 2016

State Bank
of India

Mobile Number

PARTICULARS OF THE PAYMENT :


Sr. No.

NAME OF THE PILGRIM

ADDRESS OF COVER HEAD

Amount (In words) Rupees ___________________________________________________________________

CASH NOTE AMOUNT IN RS.


x
1000
=
x
500
=
x
100
=
x
50
=
x
20
=
x
10
=
x
5
=
Total Rs.
=

Transaction ID (Bank journal No.)

Branch Stamp with Signature

Deposited by

HAJ COMMITTEE OF INDIA


Haj House, 7-A, M.R.A. Marg (Palton Road), Mumbai - 400 001.
Branch :

Code :

HCol COPY

HAJ COMMITTEE OF INDIA

HAJ 1437 (H) - 2016 (CE)


COLLECTION - DETAILS
ACCOUNT NUMBER : 35398104789 HAJ PILGRIM PROCESSING FEE COLLECTION - 2016
PASSPORT NUMBER OF COVER HEAD
Name of Cover Head
Date of Deposit :

- 2016

Mobile Number

PARTICULARS OF THE PAYMENT :


Sr. No.

NAME OF THE PILGRIM

ADDRESS OF COVER HEAD

Amount (In words) Rupees ___________________________________________________________________

CASH NOTE AMOUNT IN RS.


x
1000
=
x
500
=
x
100
=
x
50
=
x
20
=
x
10
=
x
5
=
Total Rs.
=

Transaction ID (Bank journal No.)

Branch Stamp with Signature

Branch :

Deposited by

Code :

PILGRIM COPY

HAJ 1437 (H) - 2016 (CE)


HAJ COMMITTEE OF INDIA
COLLECTION - DETAILS
ACCOUNT NUMBER : 35398104789 HAJ PILGRIM PROCESSING FEE COLLECTION - 2016
PASSPORT NUMBER OF COVER HEAD
Name of Cover Head
Date of Deposit :

- 2016

Mobile Number

PARTICULARS OF THE PAYMENT :


Sr. No.

NAME OF THE PILGRIM

ADDRESS OF COVER HEAD

CASH NOTE AMOUNT IN RS.


x
1000
=
x
500
=
x
100
=
x
50
=
x
20
=
x
10
=
x
5
=
Amount (In words) Rupees ___________________________________________________________________
Total Rs.
=
Transaction ID (Bank journal No.)

Branch Stamp with Signature

Deposited by

NOTE- photo copy of pay -in-slip may also be used for deposit of amount.
If any difficulty, please contact SBI, Mumbai Main Branch. (Mob. No. 09930766530, Tel. No. 022-2269 1548)

(PAY-IN-SLIP to deposit Rs.300/- per pilgrim and maximum of Rs.1,500/- only)


Branch :

Code :

BANK COPY

HAJ COMMITTEE OF INDIA

HAJ 1437 (H) - 2016 (CE)


COLLECTION - DETAILS
ACCOUNT NUMBER : 318702010406010 (HAJ PROCESSING FEE ACCOUNT)
PASSPORT NUMBER OF COVER HEAD

Name of Cover Head


Date of Deposit :

- 2016

PARTICULARS OF THE PAYMENT :


Sr. No.
NAME OF THE PILGRIM

Union Bank
of India

Mobile Number

ADDRESS OF COVER HEAD

Amount (In words) Rupees ________________________________________________________________

CASH NOTE AMOUNT IN RS.


x
1000
=
x
500
=
x
100
=
x
50
=
x
20
=
x
10
=
x
5
=
Total Rs.
=

Transaction ID (Bank journal No.)

Branch Stamp with Signature

Deposited by

HAJ COMMITTEE OF INDIA


Haj House, 7-A, M.R.A. Marg (Palton Road), Mumbai - 400 001.
Branch :

Code :

HCol COPY

HAJ COMMITTEE OF INDIA

HAJ 1437 (H) - 2016 (CE)


COLLECTION - DETAILS
ACCOUNT NUMBER : 318702010406010 (HAJ PROCESSING FEE ACCOUNT)
PASSPORT NUMBER OF COVER HEAD
Name of Cover Head
Date of Deposit :
- 2016
Mobile Number

PARTICULARS OF THE PAYMENT :


Sr. No.

NAME OF THE PILGRIM

ADDRESS OF COVER HEAD

Amount (In words) Rupees _________________________________________________________________

CASH NOTE AMOUNT IN RS.


x
1000
=
x
500
=
x
100
=
x
50
=
x
20
=
x
10
=
x
5
=
Total Rs.
=

Transaction ID (Bank journal No.)

Branch Stamp with Signature

Branch :

Deposited by

Code :

PILGRIM COPY

HAJ COMMITTEE OF INDIA

HAJ 1437 (H) - 2016 (CE)


COLLECTION - DETAILS
ACCOUNT NUMBER : 318702010406010 (HAJ PROCESSING FEE ACCOUNT)

PASSPORT NUMBER OF COVER HEAD


Name of Cover Head
Date of Deposit :

- 2016

Mobile Number

PARTICULARS OF THE PAYMENT :


Sr. No.

NAME OF THE PILGRIM

ADDRESS OF COVER HEAD

Amount (In words) Rupees ___________________________________________________________________

CASH NOTE AMOUNT IN RS.


x
1000
=
x
500
=
x
100
=
x
50
=
x
20
=
x
10
=
x
5
=
Total Rs.
=

Transaction ID (Bank journal No.)

Branch Stamp with Signature

Deposited by

NOTE- photo copy of pay -in-slip may also be used for deposit of amount.
If any difficulty, please contact UBI, Null Bazar Branch. (Mob. No. 09820199314, Tel. No. 022-2374 4107)

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