XLRI's Copy   XAT Pay‐in‐slip 2011  

Axis Bank   Date of Registration : 9/3/2010 10:33:12 AM  

Pondicherry‐
  Branch code & name:
209 
XAT Pay‐in‐slip No : 209XAT204120 XAT ID : XAT204120

Please credit to : XAT Sale of Bulletin A/c   

    (Current A/c No 340010200008310)      

Full Name of applicant   Chulbul Pandey  

heer Ranjha Lane , Munni badnaam marg ,  
Address of applicant   Jabalpur , Madhya Pradesh ‐ 482011   Please affix your latest photograph

Phone/Mobile Number   9832482343  

Denominations of notes
1000 X
Depositer's signature..............
Received Rs.900 on.........2010
 
500 X Issued XAT Bulletin 2011 No............  
Bank Seal
100 X
Cashier's Signature and stamp..........   
50 X  
Send this copy along with the detachable form given in XAT Bulletin 2011 to Admissions Office, XLRI  
Candidate's Copy    
XAT Pay‐in‐slip 2011

Axis Bank   Date of Registration : 9/3/2010 10:33:12 AM 

Pondicherry‐
  Branch code & name:
209 
XAT Pay‐in‐slip No : 209XAT204120 XAT ID : XAT204120

Please credit to : XAT Sale of Bulletin A/c   

    (Current A/c No 340010200008310)       

Full Name of applicant   Chulbul Pandey  

heer Ranjha Lane , Munni badnaam marg ,  
Address of applicant  Jabalpur , Madhya Pradesh ‐ 482011  
Phone/Mobile Number   9832482343  
Denominations of notes
1000 X
Bank Seal    Depositer's signature..............
Received Rs.900 on.........2010
500 X   Issued XAT Bulletin 2011 No............
100 X
Cashier's Signature and stamp..........  
50 X  
Bank's Copy    
XAT Pay‐in‐slip 2011

Axis Bank   Date of Registration : 9/3/2010 10:33:12 AM 

Pondicherry‐
  Branch code & name:
209 
XAT Pay‐in‐slip No : 209XAT204120 XAT ID : XAT204120

Please credit to : XAT Sale of Bulletin A/c   

    (Current A/c No 340010200008310)      

Full Name of applicant   Chulbul Pandey  

heer Ranjha Lane , Munni badnaam marg ,  
Address of applicant  Jabalpur , Madhya Pradesh ‐ 482011  
Phone/Mobile Number   9832482343  
Denominations of notes
1000 X
Bank Seal    Depositer's signature..............
Received Rs.900 on.........2010
500 X   Issued XAT Bulletin 2011 No............
100 X
Cashier's Signature and stamp..........  
50 X