See Exception (c) below rule 13 (ii) and
Note 3 below rule 13)]
| Sl. No. | Date of receipt | From whom received with No. & date of covering letter, if any | Nature of valuable (e.g. whether Cheque/ Demand Draft) No. & date & name of Bank on which drawn | Amount |
| 1 | 2 | 3 | 4 | 5 |
Initials of D.D.O./ authorised officer |
How disposed of - with particulars) (e g. credit to bank, sent to P.A.O., returned to Party) | Date of bank scroll in which credit traced or acknowledgement No. & date of PAO/Party | Initials of DDO/ authorised officer | Remarks |
| 6 | 7 | 8 | 9 | 10 |
Foot Note:—
If any cheque is dishonoured, a note thereof may be made against the
relevant entry in, the Remarks column for further action.