TO BE PAID THROUGH SYSTEM ONLY
PFMS Generated Print Payment Advice
Approval date in PFMS: 24 Oct 2024 Payment Advice No.: C102445988776
Expiry date of PPA PFMS: 03 Nov 2024 Advice Print Date : 24 Oct 2024
PAN No. : TAN No. :
Note For Branch: Kindly process the payment advice through CPSMS application by login through i-View(i-Sense)
application and share 16 digit Acknowledgement (PI number) with the client.
Contact Details BANK PFMS
Name: ICICI Bank PFMS Team
Email :
[email protected] [email protected]Phone No.: 040 - 33593555 011-23343860
Note: For Agency: Kindly submit this advice duly signed to the branch at the earliest, post approval in PFMS system, to
avoid any delay in payments.
To,
The Branch Head
ICICI BANK LTD
VYARA
S
We authorise the bank to debit our undernoted account maintained with the bank with batch amount and
credit the beneficiary(ies) [#1] as per ANNEXURE-I uploaded to bank's central system through PFMS O/o
M
CGA.
Bank Account No.
PF
Total Amount of Debit : Rs169250.00
139501003885
(Amount in words : One Lakhs Sixty-Nine Thousand Two Hundred Fifty )
No. Of Beneficiaries as per Annexure-I. Batch No. C102445988776
Agency Seal
.................................................. ..................................................
(Sign by Authorized Signatory) (Sign by Authorized Signatory)
Name - ________________________ Name - ________________________
Designation - ___________________ Designation - ___________________
Mobile No - ____________________ Mobile No - ____________________
To, SMC BILIAMBA TIM SUB DANG
SS
Ref: Account No.139501003885/ Payment Advice Number
C102445988776
We confirm having received the captioned advice of credit(s) for payment today for further processing as per arrangement
of bank on integrated PFMS-Bank payment system.
No. Of Beneficiaries : 1 Amount (in Rs.):169250.00
Date & Time :
ICICI BANK LTD Branch Seal Branch Authorized Official
Agency to enter date of delivery in PFMS using option | E-Payment => PPA Submission Status
Public Financial Management 24/10/2024 03:09
ANNEXURE -I
(All page to be stamped and initial and last page to be signed in FULL with stamp)
Payment Advice No.: C102445988776
Name of Amount(In
Sr.No. PFMS Txn ID Account Number: IFSC/IIN/MICR Aadhaar
Beneficiary Rs.)
JAY GURUDEV
KRUPA
1 169250.00
PROVISION C102445988789 xxxxxxxxxxxx0239 BARB0UKAIXX
STORE
Total Amount(Rs) 169250.00
Please acknowledge and do the needful as prescribed by bank to complete transactions.
S
M
PF
Public Financial Management 24/10/2024 03:09
