(PAY-IN-SLIP to deposit Advance / Balance Haj Amount) Union Bank

of India
CASH OR Branch : Code:
TRANSFER
HAJ COMMITTEE OF INDIA HAJ - 2025 (Hijri - 1446)
BANK COPY
ONLY
COLLECTION - DETAILS

BANK REFERENCE NUMBER BANK ACCOUNT : HAJ COLL MENU

AMOUNT OF : Advance Haj Amount / Balance Haj Amount Date of Deposit : - -
HAJ COVER NUMBER : Mobile Number
Name of Cover Head :
PARTICULARS OF THE PAYMENT
SR. NO. NAME OF THE PILGRIM ADDRESS OF COVER HEAD CASH NOTE AMOUNT IN RS.
1 x 500 =
2 x 200 =
3 x 100 =
4 x 50 =
5 x 20 =
6 x 10 =
x 5 =

Amount (In words) Rupees __________________________________________________________________ Total Rs. =

Transaction ID (Bank journal No.)

Branch Stamp with Signature Deposited by

HAJ COMMITTEE OF INDIA

Bait-ul-Hujjaj (Haj House), 7-A, M.R.A. Marg (Palton Road), Mumbai - 400 001
CASH OR Branch : Code:
TRANSFER
ONLY HAJ COMMITTEE OF INDIA HAJ - 2025 (Hijri - 1446) HCol COPY
COLLECTION - DETAILS

BANK REFERENCE NUMBER BANK ACCOUNT : HAJ COLL MENU

AMOUNT OF : Advance Haj Amount / Balance Haj Amount Date of Deposit : - -
HAJ COVER NUMBER : Mobile Number
Name of Cover Head :
PARTICULARS OF THE PAYMENT
SR. NO. NAME OF THE PILGRIM ADDRESS OF COVER HEAD CASH NOTE AMOUNT IN RS.
1 x 500 =
2 x 200 =
3 x 100 =
4 x 50 =
5 x 20 =
6 x 10 =
x 5 =

Amount (In words) Rupees __________________________________________________________________ Total Rs. =

Transaction ID (Bank journal No.)

Branch Stamp with Signature Deposited by

CASH OR Branch : Code:

TRANSFER
ONLY HAJ COMMITTEE OF INDIA HAJ - 2025 (Hijri - 1446)
PILGRIM COPY
COLLECTION - DETAILS

BANK REFERENCE NUMBER BANK ACCOUNT : HAJ COLL MENU

AMOUNT OF : Advance Haj Amount / Balance Haj Amount Date of Deposit : - -
HAJ COVER NUMBER : Mobile Number
Name of Cover Head :
PARTICULARS OF THE PAYMENT
SR. NO. NAME OF THE PILGRIM ADDRESS OF COVER HEAD CASH NOTE AMOUNT IN RS.
1 x 500 =
2 x 200 =
3 x 100 =
4 x 50 =
5 x 20 =
6 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 difculty, please contact UBI, Null Bazar Branch. (Mobile No. 9021624278 | 9137905052)