The document is a challan form for depositing money into a bank, specifically for the professional registration of Mohammud Tanvir Ahamed, a bachelor of unani medicine at Hamdard University, Bangladesh. The deposit amount is 1100 Taka and includes various identification details of the depositor. Instructions for code verification and endorsement requirements are also provided.

1. CHALLAN FORM
T. R. FORM No 6 (N.B: S . R 37)
Challan No : ___________________________ Date : ____________________________
Challan for the Deposit of money in the Branch of __Manik Mia Avenue Branch __ of District __ Dhaka__ of Bangladseh Bank /Sonali Bank
CODE No:
TO BE FILLED IN BY THE DEPOSITOR Amount of
money
Name of
Division and
Name
,Designation
and department
of
endorsement
Officer
of Challan. *
Name and address
by which the
money is
deposited.
Name , designation and
address of the Person /
Institution for which money
has been deposited
Description
for what
purpose the
money has
been
deposited
Description of
Cion &Note /
Draft,Pay-order
&Cheque
Taka Paisa
Mohammud Tanvir Ahamed ID :
934170005 Bachelor of Unani
medicine and surgery (4th Batch)
Department of Unani medicine,
Hamdard University Bangladesh.
Mobile :0175081313
Email:ranin000tanvir@gmail.com
Address: Faraidpur.
Mohammud Tanvir Ahamed ID :
934170005 Bachelor of Unani
medicine and surgery (4th Batch)
Department of Unani medicine,
Hamdard University Bangladesh.
Mobile :0175081313
Email:ranin000tanvir@gmail.com
Address: Faraidpur
For
professional
Registration
(provisional)
Cash ,
1100/=
Total Taka 1100/=
Taka (In Word): one thousand one hundred tk only
Manager
Bangladesh Bank /Sonali Bank
Money Received
Date:
NOTE: 1. Please ensure the exact Code by contacting with the respective Department, if necessary.
2 * Endorsement is applicable for those cases only where it is necessary by an Officer.
Ist (Main)
Copy
2nd Copy 3rd Copy