Form GST PMT –06 Payment Challan
(See Rule 87(2) )
Challan for deposit of goods and services tax
CPIN: 25030900159458 Challan Generated on : 17/03/2025 09:37:55 Expiry Date : 01/04/2025
Details of Taxpayer
GSTIN: 09AAATS3507J1ZE E-mail Id: tXXXXX@XXXXXXXom Mobile No.: 9XXXXX0055
Name(Legal): SRI BRIJ SEWA SAMITI Address : XXXXXXXXXX Uttar Pradesh,281121
T B SANATORIUM TRUST
Reason For Challan
Reason: Any other payment
Details of Deposit (All Amount in Rs.)
Government Major Head Minor Head
Tax Interest Penalty Fee Others Total
CGST(0005) 777008 - - - - 777008
Government
IGST(0008) - - - - - -
Of India
CESS(0009) - - - - - -
Sub-Total 777008 0 0 0 0 777008
Uttar SGST(0006) 777008 - - - - 777008
Pradesh
Total Amount 1554016
Total Amount (in words) Rupees Fifteen Lakhs Fifty-Four Thousand Sixteen Only
Mode of Payment
E-Payment Over the Counter(OTC) NEFT / RTGS
NEFT/RTGS
Remitting Bank HDFC BANK
Beneficiary Name GST
Beneficiary Account Number (CPIN) 25030900159458
Name of beneficiary bank Reserve Bank of India
Beneficiary Bank’s Indian Financial System Code (IFSC) RBIS0GSTPMT
Amount 1554016
Note: Charges to be separately paid by the person making payment.
Particulars of depositor
Name
Designation/Status(Manager,partner etc)
Signature
Date
Paid Challan Information
GSTIN
Taxpayer Name
Name of the Bank
Amount
Bank Reference No.(BRN)/UTR
CIN
Payment Date
Bank Ack No.
(For Cheque / DD deposited at Bank’s counter)
GOODS AND SERVICES TAX
Mandate Form for making GST Payment through NEFT/ RTGS Mode
(See Rule -----)
(Valid Till Date : 01/04/2025)
I hereby authorize HDFC BANK to remit an Amount of Rs 1554016 (Rupees in words )Rupees Fifteen Lakhs Fifty-Four
Thousand Sixteen Only through [ ] NEFT [ ] RTGS as per details given below :
[ ] Cheque [ ] Debit my/our Account
DETAILS OF APPLICANT(REMITTER)
Name of the Remitter SRI BRIJ SEWA SAMITI T B SANATORIUM TRUST
Account Number
Cheque Number
Cheque Date
Address XXXXXXXXXX Uttar Pradesh,281121
Contact No. 9XXXXX0055
DETAILS OF BENEFICIARY
Beneficiary Name GST
Beneficiary Account No.(CPIN) 25030900159458
Beneficiary Bank Name Reserve Bank of India
Beneficiary IFSC Code(11-digit) RBIS0GSTPMT
Amount 1554016
(……………………………………………….)
Signature
Date:
FOR BANK's USAGE
Date and time of receipt of NEFT/RTGS request
Transaction Amount
NEFT/RTGS Charges
Total Debit to Customer
NEFT /RTGS initiation date & time
NEFT/RTGS unique transaction number (UTR No.)
Instruction for Banks/Customer :
1. No change is allowed in the NEFT/RTGS details by the customer or the originating bank. The transaction is liable to be
rejected in case of any change in the NEFT/RTGS details
2. This NEFT/RTGS transaction should reach the destination bank before expiry of challan period. In case of any delay, the
NEFT /RTGS transaction would be returned to the originating account. It would be the responsibility of the customer and the
originating bank to ensure that the NEFT /RTGS remittance reaches the beneficiary account well before the expiry period
and neither the GST Authorities nor Reserve Bank of India would be responsible for any delay.
