This document is a cash/cheque deposit slip for an account holder to deposit funds into their bank account. It contains fields to provide the account number, amount in words, account holder name, details of cash/cheques being deposited including cheque numbers, denominations, totals. It distinguishes between cash deposits and cheque deposits, local vs outstation cheques. It also includes notes that funds from cheque deposits will only be available after the cheques are realized. The deposit slip is made in triplicate with copies for the customer, bank, and teller.

1. CASH / CHEQUE DEPOSIT SLIP
Account No.
(Please mention this Account Number on the reverse of the cheques also)
AMOUNT IN WORDS : Rupees ____________________________________
______________________________________________________________
Name of Account Holder____________________________________________
Cash / Cheque Details Cheque No.
Total .`
Rupees
Deposit ByDeposit By Teller
Date
CUSTOMER COPY
AMOUNT IN WORDS : Rupees _________________________________________________________________________
______________________________________________ __PAN No. (for Amount > 50,000)_____________________
Deposit By _____________________ Tel. of A/c Holder___________________ Teller ________________
___ `
Cheque No.
Total .`
Rupees PaisaBank Name, Branch & City Cheque byissued Denomination
(if depositing cash)
`
`.
`.
`.
`.
`.
`
. 1000 x
500 x
100 x
50 x
20 x
10 x
Coins . 5/2/1/
Account No.
Name of Account Holder____________________________________________________________________________________
CASH / CHEQUE DEPOSIT SLIP
Details of Cheque/Cash Deposit:
Source of Fund For NRO Accounts
c Dividend/Interest/Warrant
Rent / Pension / Sale of Proceeds of assetsc
c Others, Please specify _______________
Please prepare separate slip for each type of deposit
Cash YES BANK Cheque
Local Cheque Outstation Cheque
c c
c c
Please Note: For all Cheque Deposits, funds for withdrawal will be available only after realisation.
(Please mention this Account Number on the reverse of the cheques also)
BANK COPY
Date_____/_____/________
CASH / CHEQUE DEPOSIT SLIP
Account No.
(Please mention this Account Number on the reverse of the cheques also)
AMOUNT IN WORDS : Rupees ____________________________________
______________________________________________________________
Name of Account Holder____________________________________________
Cash / Cheque Details Cheque No.
Total .`
Rupees
Deposit ByDeposit By Teller
Date
CUSTOMER COPY
AMOUNT IN WORDS : Rupees _________________________________________________________________________
______________________________________________ __PAN No. (for Amount > 50,000)_____________________
Deposit By _____________________ Tel. of A/c Holder___________________ Teller ________________
___ `
Cheque No.
Total .`
Rupees PaisaBank Name, Branch & City Cheque byissued Denomination
(if depositing cash)
`
`.
`.
`.
`.
`.
`
. 1000 x
500 x
100 x
50 x
20 x
10 x
Coins . 5/2/1/
Account No.
Name of Account Holder____________________________________________________________________________________
CASH / CHEQUE DEPOSIT SLIP
Details of Cheque/Cash Deposit:
Source of Fund For NRO Accounts
c Dividend/Interest/Warrant
Rent / Pension / Sale of Proceeds of assetsc
c Others, Please specify _______________
Please prepare separate slip for each type of deposit
Cash YES BANK Cheque
Local Cheque Outstation Cheque
c c
c c
Please Note: For all Cheque Deposits, funds for withdrawal will be available only after realisation.
(Please mention this Account Number on the reverse of the cheques also)
BANK COPY
Date_____/_____/________