Challan for Offline Payment of Fees

Challan No - Amount in Figure - Rs Amount in words - Rupees Date Signature of Official Seal of Treasury/Sub-Treasury/Bank Annexure 28 Challan for Offline Payment of Fees [Under Rule 15 (9) of The Uniform Civil Code Rules, Uttarakhand, 2025] Challan Bank Reff. No. Financial Handbook Vol. V, Part - 2 Form No. 43A (1) (See Paragraph 417 and 478) Challan form for Depositing Amount Name of the Treasury/Sub-Treasury/Bank - 1 Name of the Registrant Aadhaar Number of the Registrant 2 Address of the Registrant Tehsil District Phone Number 3 Amount of fee Purpose for depositing the fee Registration of Live-in Relationship/ Termination of Live-in Relationship 4 Related office for which challan is to be deposited Registrar General, UCC 5 Jurisdictional Sub-Registrar Tehsil District 6 Full details of Head of Account The Uniform Civil Code, Uttarakhand 13 Digit code of Head of A/c 0030 03 104 02 01 Amount of fee (in words) - Rupees Signature of Jurisdictional Sub-Registrar Seal QR