CHALLAN FORM A&T 192/9 S.T.R Mixed ___________ Form 32(A) (See S.T.R. 27 & 29) ChaIlan cash paid in Treasury/Sub Treasury State Bank of Patiala By whom tendered Name & designation & Address of the Person on whose behalf money is paid Full Particulars of the remittance and of authority (if any) Amount Head of account Order of Bank Signature & full designation of the other money to be paid in To be used in the cash of remittance Signature To Bank through an authorised officer of the Government (In words) Rupee money to be paid Date....... Treasury Office/Account
