Security Deposit & Advance Receipt Slip

धरोहर राशि रसीद

Generate formal security deposit receipts for document holding, scanner/equipment rental, and counseling tokens.

Deposit Classification & Reference

Receipt Number

Receipt Date

Deposit Classification (प्रकार)

Depositor (Customer Particulars)

Customer / Candidate Name *

Father's / Guardian Name

Phone Number

ID Proof (Aadhaar / Voter)

Deposit Amount & Terms

Deposit Amount (रुपये) *

Payment Mode & Txn Ref

Purpose / Articles / Documents Held

Refund Terms & Conditions

APNA CYBER CAFE & CSC KENDRA

PH: +91 98765 43210

RECEIPT NO

SDR-2025/088

धरोहर राशि रसीद (REFUNDABLE SECURITY)

DEPOSITOR:VIRENDRA SINGH RATHORE

S/O / D/O:Sh. Kishan Singh Rathore

PHONE:+91 98290 44556

AMOUNT DEPOSITED

₹2,000.00

TWO THOUSAND RUPEES ONLY

Purpose: Security Deposit for Equipment Rental / Original Certificate Document Holding

* Refundable upon presentation of this original receipt within 30 days in undamaged condition.

जमाकर्ता के हस्ताक्षर (Depositor Sign)

अधिकृत मुहर (Authorized Sign & Stamp)

APNA CYBER CAFE & CSC KENDRA

PH: +91 98765 43210 | DATE:

RECEIPT

SDR-2025/088

धरोहर राशि रसीद (SECURITY DEPOSIT)

DEPOSITOR: VIRENDRA SINGH RATHORE (Sh. Kishan Singh Rathore)

PHONE: +91 98290 44556 | ID: Aadhaar No. XXXX-XXXX-4512

₹2,000.00

TWO THOUSAND RUPEES ONLY

PURPOSE: Security Deposit for Equipment Rental / Original Certificate Document Holding

TERMS: Refundable upon presentation of this original receipt within 30 days in undamaged condition.

जमाकर्ता हस्ताक्षर (Depositor)

अधिकृत मुहर व हस्ताक्षर

APNA CYBER CAFE & CSC KENDRA

PH: +91 98765 43210 | DATE:

RECEIPT

SDR-2025/088

धरोहर राशि रसीद (SECURITY DEPOSIT)

DEPOSITOR: VIRENDRA SINGH RATHORE (Sh. Kishan Singh Rathore)

PHONE: +91 98290 44556 | ID: Aadhaar No. XXXX-XXXX-4512

₹2,000.00

TWO THOUSAND RUPEES ONLY

PURPOSE: Security Deposit for Equipment Rental / Original Certificate Document Holding

TERMS: Refundable upon presentation of this original receipt within 30 days in undamaged condition.

जमाकर्ता हस्ताक्षर (Depositor)

अधिकृत मुहर व हस्ताक्षर

APNA CYBER CAFE & CSC KENDRA

PH: +91 98765 43210 | DATE:

RECEIPT

SDR-2025/088

धरोहर राशि रसीद (SECURITY DEPOSIT)

DEPOSITOR: VIRENDRA SINGH RATHORE (Sh. Kishan Singh Rathore)

PHONE: +91 98290 44556 | ID: Aadhaar No. XXXX-XXXX-4512

₹2,000.00

TWO THOUSAND RUPEES ONLY

PURPOSE: Security Deposit for Equipment Rental / Original Certificate Document Holding

TERMS: Refundable upon presentation of this original receipt within 30 days in undamaged condition.

जमाकर्ता हस्ताक्षर (Depositor)

अधिकृत मुहर व हस्ताक्षर

APNA CYBER CAFE & CSC KENDRA

PH: +91 98765 43210 | DATE:

RECEIPT

SDR-2025/088

धरोहर राशि रसीद (SECURITY DEPOSIT)

DEPOSITOR: VIRENDRA SINGH RATHORE (Sh. Kishan Singh Rathore)

PHONE: +91 98290 44556 | ID: Aadhaar No. XXXX-XXXX-4512

₹2,000.00

TWO THOUSAND RUPEES ONLY

PURPOSE: Security Deposit for Equipment Rental / Original Certificate Document Holding

TERMS: Refundable upon presentation of this original receipt within 30 days in undamaged condition.

जमाकर्ता हस्ताक्षर (Depositor)

अधिकृत मुहर व हस्ताक्षर