E-form for Cyber Receipt 
  
  FILE NO
  OFFICE NAME*
  DISTRICT*   (in which circle code is located)
  DEPOSITOR/ DEALER   NAME*
  ADDRESS :
  FLAT/BLOCK NO:   PREMISES / BUILDING / VILLAGE
  ROAD/STREET/LANE:   AREA/LOCALITY
  CITY/DISTRICT:   STATE/UT
(if other city, specify)   PINCODE
  E - MAIL * (FOR GETTING RECEIPT)
  HEAD OF ACCOUNT
  NAME OF ACT *
Click the box to select the Head Of Account
  PURPOSE* Click the box  to select the purpose
  ASSESSMENT YEAR/
  CONCERNING YEAR*
Click the box to select the Concerning year
  ASSESSMENT PERIOD/
  CONCERNING PERIOD*  
Click the box to select the Assessment /Concerning period
  AMOUNT *
  BANK NAME* Click the box to select the Bank Name
All fields marked with * are mandatory

   Press this button to reset the form