Central/Province/Local Level Government A.G.F. No. 203
…………………………Ministry/Department/Office Former AGF No. 10
Office Code No…………… Date:………………
J.V. No.:……………
JOURNAL VOUCHER (Expenditure/Miscellaneous) Electronic Transaction No:………………
Type of Journal Voucher: Receipt/Expenditure/Security/Others
Budget Sub Head No.:
Activities/ Sources
Program
S. Code/Sub Code No. Particulars LF. Source bearer Payment Debit (Rs.) Credit (Rs.)
N. Head No. 4 No. organization Mode:
Level Type
12 3 56 7 89 10 11
Total
Amount in words:
Brief narration of transaction:……………………………………………………
Attach document:…………………………………………….
For payment purpose
S.No. Payment receiver's name Bank A/c No./Slip No. Folio No. Payment Amount
Total
Prepared by:…………………… Submitted by:…………………… Approved by:……………………
Date:………………………………. Date:………………………………… Date:…………………………………
Designation:…………………… Designation:…………………….. Designation:………………………