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All fields marked with * are mandatory
Town and Country
Challan Payment Form
Department
Name of the Tax payer * Office Name *
State District *
Treasury For Refund
House/Building No.
 *
Street/Road Name
City/Town
* State *
District *
Pin Code *
Mobile Number  * Email Id  *
From Date   * To Date   *
Head Of Account *
Purpose  *
Amount *
You can submit more than one challan by adding more challan option.

From Date To Date Head of Account Purpose Amount Delete

Bank Name *
Payment Method Online Payment Over The Counter EFT


Total Amount (Rs.) *
Amount in words(Rs.)