Government of West Bengal Office of the Assistant Inspector of Schools (S.E.)

Sadar Sub-Division, Bankura Shiksha Bhavan, School Danga, Bankura, 722101

F.v.Nam e o f th e School w ith Address

and c o n ta c t no. o f HOI

O pening Balance as on

1st A p ril 2 0 1 4 /2 0 1 5 /

2016 (w ith in te res t)

D eposit o f

subscrip tion during

th e year.

Recovery o f Loan

during th e year

R efundable P.F.

Advance sanctioned

and w ith d ra w n

N on-R efundab le P.F.

and fin a l w ith d ra w a l

during th e year

Closing

Balance

(w ith o u t

In te rest)

2014-15

2015-16

2016-17

S ignature o f H.O.I.

F.Y.Name of the School with Address

and contact no. of HOI

Opening Balance as on 1st April 2014 / 2015 /

2016 (with interest)

Deposit of subscription during

the year.

Recovery of Loan during the

year

Refundable P.F. Advance sanctioned

and withdrawn

Non-Refundable P.F. and final withdrawal

during the year

Closing Balance (without Interest)

2014-15

2015-16

2016-17

Signature of H.O.I.