Annexure 1, 2, 3 and 3A for Post Offices in connection with Exchange of Rs.500/- and Rs.1000/-
Annexure-1
Report from BO to SO as on 8.11.2016 (only for this date)
Sl No
|
Name of the BO
|
Denomination received from BO, which were available at
the close of 8th November 2016 (D day)
|
Denomination at SO at the close of 8th November 2016 (D
day)
|
Total
|
||||
500
|
1000
|
Total
|
500
|
1000
|
Total
|
|||
Name of SO
Dated
Sl No
|
No of notes received for exchange
|
No of notes deposited in one's own account
|
No of notes deposited in other account
|
Total (A+B+C)
|
||||||
500
|
1000
|
Total (A)
|
500
|
1000
|
Total (B)
|
500
|
1000
|
Total ©
|
||
Name of the SPM _________________________________
Signature of the SPM
____________________________
Date:___________________
Place:_____________________
Report from HO to Divisional Office
Name of HO *
Dated
1
|
2
|
3
|
4
|
5
|
6
|
||||||||
Sl No
|
Denomination available as on close of 8th November 2016
*
|
Denomination received from SO, which were available at
the close of 8th November 2016 (D day)*
|
No of notes deposited in one's own account at HO
|
No of notes deposited in other account at HO
|
Total (A+B)
|
||||||||
500
|
1000
|
Total
|
500
|
1000
|
Total
|
500
|
1000
|
Total (A)
|
500
|
1000
|
Total (B)
|
||
* Information to be given for 8th November only. From
10th November this will be blank and information from column 4 to 6 only to be
provided
Name of the Postmaster _________________________________
Signature of the Postmaster
____________________________
Date:___________________
Place:_____________________
Annexure-2
Request Slip for exchange of Withdrawn Old series
of banknotes *
in denomination of Rs 500/- and Rs 1000/-
Name of the Post Office
:_________________________________________________________
Name of the Tenderer
(In capital Letters)
|
|||||||||||||
Identity Proof
Original to be shown at the counter
(Tick the one
applicable)
|
Aadhar Card, Driving License, Voter ID Card, Pass Port,
NAREGA Card, PAN Card,
Identity Card Issued
by Government Department, Public Sector Unit to its Staff,
|
||||||||||||
Identification Number
(Number mentioned in
the Identity Proof submitted)
|
|||||||||||||
Details of Withdrawn
Old series Notes submitted for exchange
|
Total value in words:
|
||||||||||||
Signature of Tenderer
|
|||||||||||||
Place:
Date:
|
* To be supplied to members of public
Annexure-3
Format for reporting daily exchange of bank notes in the
denomination of Rs 500/- and Rs.1000/- to the Divisional Office
Name of the HO/SO:__________________________
The banknotes exchanged at the HO/SO on _____________ are as under:
Denomination
|
Number of Pieces
|
Total value
|
Rs 500
|
||
Rs 1000
|
||
TOTAL
|
Name and Designation of the Post Office In-charge
_________________________________
Signature of the Post Office In-charge
____________________________
Date:___________________
Place:_____________________
Statement enclosed in Annexure-3B, Annexure -3C &
Annexure -3D
Annex-3A
Format for reporting to Circle Office on a daily basis the exchange of bank notes in
the denomination of Rs 500/- and Rs.1000/-
at the branches of the post office
Name of the PMG:____________________________
The bank notes exchange\d during the day
___________________ are as under:
Denomination
|
Number of Pieces
|
Total value
|
Rs 500
|
||
Rs 1000
|
||
TOTAL
|
Name and Designation of the Reporting Officer
_________________________________
Signature of the Reporting Officer
____________________________
Date:___________________
Place:_____________________