bank chalan copy for company and pharmaceuticals

1. CHALLAN FORM
T. R. FORM No 6 (N.B: S . R 37)
Challan No : ___________________________ Date : ____________________________
Challan for the Deposit of money in the Branch of _________________________ of District ______________________ of Bangladseh Bank /Sonali Bank
CODE No: 1 2 7 1 5 0 0 0 0 1 8 6 3
TO BE FILLED IN BY THE DEPOSITOR Amount of money Name of Division
and
Name ,Designation
and department of
endorsement Officer
of Challan. *
Name and address
by which the
money is
deposited.
Name , designation and
address of the Person /
Institution for which money
has been deposited
Description for
what purpose the
money has been
deposited
Description of Cion &Note /
Draft,Pay-order &Cheque
Taka Paisa
MD.NURUZZAMAN
SHEIKH
Managing Director &
Proprietor.
Sunrise Laboratories
(Unani) . Faridpur
Sadar, Faridpur
,Dhaka, Bangladesh.
Sunrise Laboratories (Unani)
Manufacturing license no :u -252 ,
Faridpur Sadar, Faridpur ,Dhaka,
Bangladesh.
E-Mail:sunriseunani252@yahoo.com
Cash ,
Total Taka
Taka (In Word):
Manager
Bangladesh Bank /Sonali Bank
Money Received
Date:
NOTE: 1. Please ensure the exact Code by contacting with the respective Department, if necessary.
2 * Endorsement is applicable for those cases only where it is necessary by an Officer.
Ist (Main)
Copy
2nd Copy 3rd Copy