SB 103(a) RD
POST OFFICE SAVINGS BANK

……………………………. PO of Account
…………………………………….. PO of Account Date …………..
Date : …………………… Paid into 5 year RD Account No……………………………………………………….
Received for credit into 5 year RD Account No
of (Name)
………………………………………………………………………………..
…………….
(Name)……………………………. Rupees ………………. (in words)……………………………………………………..
Rupees ……………….. (in words)
…………….. by cash/cheque No…………………………………………………………….
……………………………………….… by cash Dated …………………………… on ………………………………
Cheque No…………………………….. ………………………………………………………………….…………../Bank
Dated ……………. On …………………
for the month(s)
…………………………………………………………………………
……………………………………..… Bank
Rs………………less rebate/plus interest on
default(s)…………………………………..
for the month(s) ……………………………
Balance after deposit Rs……………..……………………… (to be filled by the SB
clerk) Rs………...…less rebate/plus interest on
default(s) SB Assistant Date Stamp
Date Stamp SB
Assistant by ………………….