Pay in slip[1]

1. Size 9 x 4 (Customer Copy)
ICICI BANK BRANCH CODE
Customer Copy
ICICI Bank
Oxigen Services India Pvt Ltd.Corporate Solutions
Credit to Client Account No. Deposit Slip No.
017705004663 Date of Cash Deposit DD-MM-YYYY
Vendor Code Time & Date
CASH DEPOSIT
Rs. Ps.
DENO. PIECES
1000 X
Depositor ’s Name & Signature
500 X
100 X
50 X
20 X
Bank’s Acknowledgement
10 X
TOTAL
For Branch Use:
JC/ SO:
If Cash > Rs. 50,000
Tran Id: PAN/GIR No.
Additional Informations:
Size 9 x 4 (Bank Copy)
ICICI BANK BRANCH CODE
Customer Copy
ICICI Bank
Oxigen Services India Pvt Ltd.Corporate Solutions
Credit to Client Account No. Deposit Slip No.

Date of Cash Deposit DD-MM-YYYY
Vendor Code Time & Date
CASH DEPOSIT
Rs. Ps.
DENO. PIECES
1000 X
Depositor ’s Name & Signature
500 X
100 X
50 X
20 X
Bank’s Acknowledgement
10 X
TOTAL
For Branch Use:
JC/ SO:
If Cash > Rs. 50,000
Tran Id: PAN/GIR No.
Additional Informations: