1.

REPORT OF SURPRISE CHECKING

(i) Name of the Branch with Branch Code :

(ii) Date of Surprise Checking :
(iii) Time of Surprise Checking :
(iv) Conducted By :

2. SURPRISE CASH VERIFICATION

As per the instructions dated ___________, I verified the Cash Balance at our
_________________________Branch on ___________________, and compared balance by accounting the
payments/receipts upto date and observed the following:

PHYSICAL
PARTICULARS AS PER CGL AS PER BGL
CASH

The Balance of Cash as on the Previous Day

ADD : Total Cash received on the date of inspection

LESS : Total Cash paid as on date of inspection

Total Closing Balance at the end of the day on date of

inspection

Cash Retention limit of the branch (Rs. In Lacs):

The following are the particulars of cash on hand held by the branch as on ………………….
Denominations No. of pieces of No. of Pieces of till Total No. of Total Amount
reserve cash Cash Pieces

2000

500

100

50

20

10

Coins

Total

Amount of Cut Notes exchange from public and kept on hand : Rs._______________

I have checked the entire cash and found that :

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Sr.No. PARTICULARS AMT. IN Rs.

(i) The Balance of cash as per CGL & BGL is tallied with
Physical Cash balance
(ii) There is excess or shortage in balance of CGL & BGL
(iii) There is excess or shortage in balance of CGL &
Physical Cash in Hand
(iv) There is excess or shortage in balance of BGL &
Physical Cash in Hand
Other observations are as follows:

A. Soiled/re-issuable currency notes :

Had soiled/re-issuable notes come to light during inspection YES NO If Yes, details of denomination
& total amt to be provided in
separate enclosure

Are they sorted then and there YES NO NA

Sorted after close of Business Hours YES NO NA

Total Amount of Soiled Notes Held :

B. Accumulation of Soiled/re-issuable note remitted to Currency Chest/Main

Branch Periodically

Occasionally

01. Is Cashier’s Cash Cabin provided with Automatic Lock YES NO

02. Is Cashier’s Cabin properly covered YES NO

03. Were there any unauthorized persons/members off public inside the counters YES NO

04. Does the branch allow members of the public after Business Hours. YES NO

05. Is Main gate/door closed immediately after Business Hours. YES NO

06. Does the branch has more than one Door YES NO

07. Is the Main door provided with Collapsible gate/Shutter YES NO

08. Was the Branch having Minimum cash balance YES NO

09. If not were the instructions of HO in this regard being followed scrupulously. YES NO

10. Any short coming noticed by the Inspecting Official YES NO

11. Are physical cash vouchers being tallied with EVVR transactions YES NO

12. Suggestions, if any made by any member of the Staff YES NO

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 13. New system of recording of Cash – Book is maintained in branch Yes No

14 If yes, Particulars of suggestion.

Signature of Cashier Signature of ABM Signature of Branch Manager

Signature of Visiting Officer

3. REPORT OF ATM/BNA (ONSITE/OFFSITE) CASH VERFICATION

1 Name of the branch

2 Total no of the ATM/BNA for the branch

3 ATM / BNA ID ATM or BNA**

4 Location of the ATM/BNA Onsite / Off site

5 Time of the ATM/BNA Surprise verification

6 Cash verification conducted by (Name/SR No/Branch)

Cash Balance(s) at the time of verification in the ATM/BNA

7 Physical balance in the ATM/BNA Rs.

8 JP Log balance Rs.

9 Admin Balance Rs.

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10 BGL Balance Rs.

11 Whether all the Four balances tallied YES / NO

12 Any difference (short or excess) found. Amount along with Rs.

denominations

**Strike off which ever not applicable

We certify that the branch is performing EOD activities at ATM on daily basis as stipulated by Corporate Office.

Signature of ATM Officer Signature of Branch Manager

Signature of Visiting Officer

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