APTC FORM 101
(See subsidiary Rule 2(W) under Treasury Rule 15:
Govt. Memo No.38907/ Accounts / 65 /5, Dt:21-02-1963)
PAPER TOKEN
(For Treasury Use Only)
STO Code :
Date
DDO Cede:
Treasury/PAO Code
Trans ID
DDO Designation
STO Name :
DDO Code :
DDO Designation :
DDO Office Name :
Name:
Bank Branch Code :
Head of Account
Treasury / PAO Name
To
:
The Treasury Officer / Manager
(Sub-MH) (Minor Head)
(Grp-SH)
Please Pay Bill No.
(Sub Head)
(Det. Head)
dated
for Rs.
(Sub Det. Head)
(Rupees in words
Non - Plan = N
Changed = C
Voted = V
Contingency Fund
MH / Service Major Head
V
the Smt/Sri
for the office
of the
Gross Rs.
Deductions Rs.
whose speciemem
Net Rs.
signature is attested herewith.
(Net Rupees
Messenger Neme :
(As in APTC Form - 101)
Designation:
Signature of the Govt. Servant
Specimen Signature of Messenger 1)
Date:
2)
Dated:
Attested
Signature of the DDO
DDO Signature
D.D.O.
Seal
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Received the payment
Attested
DDO Signature
STO Signature
Treasury
Seal
DDO
Seal
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Signature of the Govt.
Servant receiving the Payment

City / Date Signature

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