FORM VAT- C1

(See Rule 35)

CHALLAN

(To be filled in by the Depositor)

By whom tendered: ______________________________________________________________________

Name and address of person on

whose behalf money is deposited: ___________________________________________________________

District name:

TIN:

0

6

(Please tick ( P ) the box against the Act below under which payment is made and do not tick more than one box. Use separate challans for payment under each Act)

ACT:

VAT

CST

LADT

ENTT.

EXCISE

Details of amount deposited:

10 Cr. Cr. 10 Lakh Lakh 10 Th. Th. 100’s 10’s Unit

(i) Voluntary Tax	Tax Period (Qr./Month)
(ii) Recovery against Demand	Demand No. & assessment year
(iii) Fee	Purpose
(iv) Duty	Purpose
(v) Security	Purpose
(vi) Others	Purpose
Total (i) to (vi)

Total (i) to (vi)

in words: _______________________________________________________________________________

(Signature of depositor): _________________________

(To be filled in by the Treasury Bank branch / Treasury / Sub-treasury Office)

Scroll No.

DDO Code:

Department code

Treasury Code:

Sub-try. Code

Bank Code

Branch Code

Sr. No. (TSN)

Major Head	Sub Major Head	Minor Head	Sub-head	Detail head	Amount:
					Date:

(Signature of the Officer

ordering the money to be paid in)