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Near Indroda circle, Near GH-0, Gandhinagar- 382007,Gujarat, India Tel : +91 79 30520000 The PAN NO. of the Education Institution Name of branch: Date of Deposit: D D M M Y (to be treated by student as fee receipt) Account to be credited 1. Institution Name 2.Student's Name : : 0 D 0 A 3 I 6 I Y S C L T F E E C O L : AAAJT1203A
DA-IICT
Bank's Copy
Near Indroda circle, Near GH-0, Gandhinagar- 382007,Gujarat, India Tel : +91 79 30520000 The PAN NO. of the Education Institution Name of branch: Date of Deposit: D D M M Y (to be treated by student as fee receipt) Account to be credited 1. Institution Name 2.Student's Name : : 0 D 0 A 3 I 6 I Y S C L T F E E C O L : AAAJT1203A MORBI
DA-IICT
3. Name of Course 4. Semester 5. Roll no./Student ID 6. Amount 7. Amount in words 8. Fee Headwise details: Fee Head Tution fees Registration fees Hostel Fees Electricity Charges Medical Insurance Hostel Security Deposit Total 9. Full Name of Student 10. Full Name of Parent/Guardian 11. Contact No: Mobile No. Land Line No. Payorder / DD No. /Cheque No. Payable At Branch: : : : :
B 0 2
5 0
B 0 2
5 0
5. Roll no./Student ID 6. Amount 7. Amount in words 8. Fee Headwise details: Fee Head Tution fees Registration fees Hostel Fees Electricity Charges Medical Insurance Hostel Security Deposit Total 9. Full Name of Student 10. Full Name of Parent/Guardian 11. Contact No: Mobile No. Land Line No.
Amount 30,000/2,500/7,000/1,800/300/41,600/-
Amount 30,000/2,500/7,000/1,800/300/41,600/-
Drawn On Bank
Drawn On Bank
Signature of Depositor
Signature of Depositor
* DD/ Payorder/Cheque must be drawn payable at the centre of deposit of the instrument I.e. outstation instruments not acceptable
* DD/ Payorder/Cheque must be drawn payable at the centre of deposit of the instrument I.e. outstation instruments not acceptable
Sheet1_2
Student/Applicant copy
The PAN NO. of the Education Institution Name of branch: Date of Deposit:
AAAJT2294D
D D/M M/Y Y (to be treated by student / Donor as fee receipt) Account to be credited 1. Institution Name 2.Student : : 0 0 3 6 S L F E E C O L F C
4. Class / Trimester
5. Course
: :
Drawn On Bank
* must be drawn payable at the centre of deposit of the instrument I.e. outstation instruments not acceptable
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