This is the Punjab & Sind Bank Demand Draft / Pay Order Application Form (F.N. 141 (B) Revised) used to request bank drafts, pay orders, or banker’s cheques (2150_20250… p. 1).

• Multiple Instrument Options: This single form can be used to request three types of secure instruments: a Demand Draft (DD), a Pay Order (PO), or a Banker Cheque (2150_20250… p. 1).
• Payment Modes: Applicants can choose to pay for the instrument using Cash, a physical Cheque, or by selecting Debit My A/c No. to deduct funds directly from their bank account (2150_20250… p. 1).
• Cash Breakdown Table: For cash payments, a comprehensive currency table requires listing the exact count and value of individual denominations (from ₹500 notes down to coins) (2150_20250… p. 1).
• Core Details Required: Essential fields include Branch Name, Date, Applicant’s Name & Address, Payee’s Name (the recipient), and the specific location where the instrument should be Payable At (2150_20250… p. 1).

• Cost Components: The total money required from the applicant is calculated by adding the core Amount, the bank’s Exchange Fee, and any additional Out of Pocket Expenses (2150_20250… p. 1).
• Identification Mandate: The applicant must provide their PAN No. directly on the form, which is legally mandatory for large value transactions in India (2150_20250… p. 1).
• Contact Information: Valid contact credentials including a Mobile/Telephone number and E-mail address must be provided (2150_20250… p. 1).

• Branch Validation: Includes a dedicated “For Branch Use Only” section for the system-generated DD/PO number and the signatures of the bank’s authorised officers (2150_20250… p. 1).
• Customer Acknowledgment Receipt: Features a formal acknowledgment line at the bottom where the customer must sign to confirm receipt of the physical instrument after it is printed (2150_20250… p. 1).

If you want, I can help you with:

• Explain the difference between a Demand Draft and a Pay Order
• Detail the PAN card limits for issuing drafts via cash
• Provide information on how to cancel a Demand Draft

Download PDF Click here

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