Payment Challan
Payment Challan
Payment Challan
Candidates Copy
Bank Copy
Study Centre :
Study Centre :
Study Centre :
Programme :
Programme :
Programme :
HEAD
AMOUNT
Fees
Bank Charge
Late Fine
20.00
A/C NO.
32430068257
HEAD
AMOUNT
Fees
Bank Charge
Late Fine
20.00
A/C NO.
32430068257
HEAD
AMOUNT
Fees
Bank Charge
Late Fine
20.00
Total
Total
Total
Amount in Words :
Amount in Words :
Amount in Words :
A/C NO.
32430068257
To be attached with
the Application Form.
Signature of the Candidate
JOURNAL NO.
Date:
JOURNAL NO.
Authorised Signatory
Date:
JOURNAL NO.
Authorised Signatory
Date:
Authorised Signatory