Central RecordKeeping Agency

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To Date - _____________

The Branch Manager


____________________________________
____________________________________
____________________________________

Subject: Covering letter for Fund Transfer to NPS Trust

Dear Sir,

You are hereby authorized to transfer amount by way of electronic fund Transfer to NPS Trust Account as per below details
(A) Bank Details of Applicant (Remitter's Information):
(1) Account Name: (To be filled by PAO)
___________________________________________

(To be filled by PAO)


(2) Account Number: ___________________________________________

(B) Details of Beneficiary (Receiver of the Funds)

Sr. No Beneficiary Details

1 Beneficiary Account No 2017256

2 Amount (₹) (₹) 903312.00

3 Beneficiary Name NPS Trust Account

4 Bank Name Axis Bank

5 Branch Axis Bank Ltd, CBB Branch, Mumbai

6 IFS Code UTIB0NPS001

7 Type of Beneficiary Account Current Account

Transaction ID information :Mandatory to provide in the field 7495 (Sender to Receiver


8 1002707603598
message) of remittance by Bank

9 Date of Transaction ID 01/05/2024

10 Mode of Remittance NEFT/RTGS (R-41 only)

11 Auto Cancellation Date (Not applicable to APY Transaction IDs) 17/05/2024

Important Note:
Please remit the amount as mentioned above before 17/05/2024 or else the SCF will get auto cancelled in CRA System and Transaction ID
mentioned in sr.no 8 will become invalid.
Yours Sincerely

Authorised Signatory

Generated in Protean CRA System


Annexure N5
CENTRAL RECORDKEEPING AGENCY
Financial Year
CONTRIBUTION SUBMISSION FORM -
[Under National Pension System (NPS) With Effect From 1st January 2004] Contribution for the month of
Transaction ID Number(Given by NPSCAN) 1002707603598 -
M M - Y Y Y Y
PAO/PrAO Reg. No. 2017256
PAO/PrAO NAME(Department/Office)
CDDO, Office of The Additional Commissioner of Income Tax (FPU), Bathinda
PAO/PrAO Address
Flat / Unit No. Block No.
Central Revenue Building
Name of Premise / Building / Village
Civil Station
Area / Locality / Talukka
-
District / Town / City
Bathinda
State / Union Territory
Punjab
Country India Pin Code 151001
Phone Number 01642218761
FOR USE IN RECEIVING BANK

Total Contribution Amount (in Rs. only) Cash / Debit to A/c / Cheque Credited on
Employee Contribution 376380.00
Government Contribution 526932.00 - -
Total 903312.00
D D M M Y Y
Total in words Nine Lakh Three Thousand Three Hundred and Twelve Rupees only
DETAILS OF PAYMENT (To be filled by PAO/PrAO)
SPACE FOR BANK SEAL
CRORES LACS THOUSANDS HUNDREDS TENS UNITS

Paid in Cash/Debit to A/c /Cheque No. Dated


Drawn On
(Name of the Bank & Branch)
Date:
(Signature of person making payment)

Rs.

PAOs/PrAOs Counterfoil
Transaction ID Number (Given by
PAO/PrAO Reg. No. 2017256 NPSCAN)
CDDO, Office of The Additional 1002707603598
On Account of Pension Fund Contribution Received
Commissioner of Income Tax
from (PAO/PrAO Name)
(FPU), Bathinda
SPACE FOR BANK SEAL
Cash / Debit to A/c / Cheque No.
For Rs. 903312.00
(To be filled up by PAO/PrAO)
Rs.(In Words) Nine Lakh Three Thousand Three Hundred and Twelve Rupees only
Drawn On
(Name of the Bank & Branch)
-
Financial Year

Month of Contribution -
M M - Y Y Y Y Rs.

This Transaction ID is ID given by Central Recordkeeping Agency (CRA) after submission of Subscribers' Contribution file.
Electronic remittances in NEFT / RTGS (Type-41 only) matching with the SCF amount have to be made to Axis Bank Ltd., CBB Mumbai Branch.
The Beneficiary Account Name is: NPS Trust Account. Account Type: Current Account. The Beneficiary Account Number is:2017256
The NPS Trustee Bank IFSC Code is: UTIB0NPS001. (Note: All the '0' in the IFSC code are numeric zeros & not alphabetic O)
Mandatory information to be sent in "Sender to Receiver Information" - (Field-7495 Only): 1002707603598
For clarifications w.r.t. captioned remittances, please feel free to write to Trustee Bank at [email protected] ‹mailto:[email protected]› or call on Toll
Free No : 1800-102-6667

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