SB 103 SB 103
SB/RD/MIS
POST OFFICE SAVINGS BANK

………………………. Post Office …………………………………….. Post Office
Account No : ……………………….. Account No. ……………………… Date : ……………………
Date : …………………… …………………………...…………………………..……….. Paid into the credit of ……………………………... Paid into the credit of Rupees …………………………..
…………………….. Rupees ……………………. …………………………………………………………
……………………………… by cash/cheque No…………. Date : ……………………
by cash/cheque No :
…………………………….. (Particulars of the cheque)
Date : ……………………
by :
…………… Balance after transaction …………………………………………….
(Subject to realisation)
SB Assistant …………………………
SB Assistant ……………..
Date Stamp Date Stamp by …………………………..
Rs.
Rs.