Form GST PMT –06 Payment Challan
(See Rule 87(2) )
Challan for deposit of goods and services tax
CPIN: 25041800002790 Challan Generated on : 03/04/2025 11:03:59 Expiry Date : 18/04/2025
Details of Taxpayer
GSTIN: 18AHOPN4049F1Z2 E-mail Id: Mobile No.: 9XXXXX6243
NXXXXXXXXXXXXXXXXXX@XXXXXXXOM
Name(Legal): RAMANANDA NATH Address : XXXXXXXXXX Assam,782442
Reason For Challan
Reason: Any other payment
Details of Deposit (All Amount in Rs.)
Government Major Head Minor Head
Tax Interest Penalty Fee Others Total
CGST(0005) 7465 - - - - 7465
Government
IGST(0008) 7465 - - - - 7465
Of India
CESS(0009) - - - - - -
Sub-Total 14930 0 0 0 0 14930
Assam SGST(0006) - - - - - -
Total Amount 14930
Total Amount (in words) Rupees Fourteen Thousand Nine hundred Thirty Only
Mode of Payment
E-Payment Over the Counter(OTC) NEFT / RTGS
NEFT/RTGS
Remitting Bank ICICI BANK LIMITED
Beneficiary Name GST
Beneficiary Account Number (CPIN) 25041800002790
Name of beneficiary bank Reserve Bank of India
Beneficiary Bank’s Indian Financial System Code (IFSC) RBIS0GSTPMT
Amount 14930
Note: Charges to be separately paid by the person making payment.
Particulars of depositor
Name
Designation/Status(Manager,partner etc)
Signature
Date
Paid Challan Information
GSTIN
Taxpayer Name
Name of the Bank
Amount
Bank Reference No.(BRN)/UTR
CIN
Payment Date
Bank Ack No.
(For Cheque / DD deposited at Bank’s counter)
GOODS AND SERVICES TAX
Mandate Form for making GST Payment through NEFT/ RTGS Mode
(See Rule -----)
(Valid Till Date : 18/04/2025)
I hereby authorize ICICI BANK LIMITED to remit an Amount of Rs 14930 (Rupees in words )Rupees Fourteen Thousand Nine
hundred Thirty Only through [ ] NEFT [ ] RTGS as per details given below :
[ ] Cheque [ ] Debit my/our Account
DETAILS OF APPLICANT(REMITTER)
Name of the Remitter RAMANANDA NATH
Account Number
Cheque Number
Cheque Date
Address XXXXXXXXXX Assam,782442
Contact No. 9XXXXX6243
DETAILS OF BENEFICIARY
Beneficiary Name GST
Beneficiary Account No.(CPIN) 25041800002790
Beneficiary Bank Name Reserve Bank of India
Beneficiary IFSC Code(11-digit) RBIS0GSTPMT
Amount 14930
(……………………………………………….)
Signature
Date:
FOR BANK's USAGE
Date and time of receipt of NEFT/RTGS request
Transaction Amount
NEFT/RTGS Charges
Total Debit to Customer
NEFT /RTGS initiation date & time
NEFT/RTGS unique transaction number (UTR No.)
Instruction for Banks/Customer :
1. No change is allowed in the NEFT/RTGS details by the customer or the originating bank. The transaction is liable to be
rejected in case of any change in the NEFT/RTGS details
2. This NEFT/RTGS transaction should reach the destination bank before expiry of challan period. In case of any delay, the
NEFT /RTGS transaction would be returned to the originating account. It would be the responsibility of the customer and the
originating bank to ensure that the NEFT /RTGS remittance reaches the beneficiary account well before the expiry period
and neither the GST Authorities nor Reserve Bank of India would be responsible for any delay.
