Professional Documents
Culture Documents
Karnataka State Open University, Mysore Karnataka State Open University, Mysore Karnataka State Open University, Mysore
PÀ£ÁðlPÀ gÁdå ªÀÄÄPÀÛ «±Àé«zÁ央AiÀÄ, ªÉÄʸÀÆgÀÄ PÀ£ÁðlPÀ gÁdå ªÀÄÄPÀÛ «±Àé«zÁ央AiÀÄ, ªÉÄʸÀÆgÀÄ PÀ£ÁðlPÀ gÁdå ªÀÄÄPÀÛ «±Àé«zÁ央AiÀÄ, ªÉÄʸÀÆgÀÄ PÀ£ÁðlPÀ gÁdå ªÀÄÄPÀÛ «±Àé«zÁ央AiÀÄ, ªÉÄʸÀÆgÀÄ
Name of the Bank & Name of the Bank & Name of the Bank & Name of the Bank &
Place of Remittance ....................................................................... Place of Remittance ....................................................................... Place of Remittance ....................................................................... Place of Remittance .......................................................................
Name of the Course ....................................................................... Name of the Course ....................................................................... Name of the Course ....................................................................... Name of the Course .......................................................................
Class : I / II / III Year Class : I / II / III Year Class : I / II / III Year Class : I / II / III Year
NOTE: Please key in Roll No. before affording credit NOTE: Please key in Roll No. before affording credit NOTE: Please key in Roll No. before affording credit NOTE: Please key in Roll No. before affording credit
Subject: Roll No: Subject: Roll No: Subject: Roll No: Subject: Roll No:
ORIGINAL DUPLICATE TRIPLICATE QUADRUPLICATE
State Bank of Mysore ¸ÉÖÃmï ¨ÁåAPï D¥sï ªÉÄʸÀÆgÀÄ State Bank of Mysore ¸ÉÖÃmï ¨ÁåAPï D¥sï ªÉÄʸÀÆgÀÄ State Bank of Mysore ¸ÉÖÃmï ¨ÁåAPï D¥sï ªÉÄʸÀÆgÀÄ State Bank of Mysore ¸ÉÖÃmï ¨ÁåAPï D¥sï ªÉÄʸÀÆgÀÄ
(Code: 40166) PÉÆÃqï : 40166 (Code: 40166) PÉÆÃqï : 40166 (Code: 40166) PÉÆÃqï : 40166 (Code: 40166) PÉÆÃqï : 40166
Manasagangotri, Mysore-570 006 ªÀiÁ£À¸À UÀAUÉÆÃwæ, ªÉÄʸÀÆgÀÄ -570 006 Manasagangotri, Mysore-570 006 ªÀiÁ£À¸À UÀAUÉÆÃwæ, ªÉÄʸÀÆgÀÄ -570 006 Manasagangotri, Mysore-570 006 ªÀiÁ£À¸À UÀAUÉÆÃwæ, ªÉÄʸÀÆgÀÄ -570 006 Manasagangotri, Mysore-570 006 ªÀiÁ£À¸À UÀAUÉÆÃwæ, ªÉÄʸÀÆgÀÄ -570 006
State Bank of India ¸ÉÖÃmï ¨ÁåAPï D¥sï EArAiÀiÁ State Bank of India ¸ÉÖÃmï ¨ÁåAPï D¥sï EArAiÀiÁ State Bank of India ¸ÉÖÃmï ¨ÁåAPï D¥sï EArAiÀiÁ State Bank of India ¸ÉÖÃmï ¨ÁåAPï D¥sï EArAiÀiÁ
(Code: 3130) PÉÆÃqï : 3130 (Code: 3130) PÉÆÃqï : 3130 (Code: 3130) PÉÆÃqï : 3130 (Code: 3130) PÉÆÃqï : 3130
New Sayyaji Rao Road, Mysore-01 £ÀÆå ¸ÀAiÀiÁåfgÁªï gÀ¸ÉÛ, ªÉÄʸÀÆgÀÄ -01 New Sayyaji Rao Road, Mysore-01 £ÀÆå ¸ÀAiÀiÁåfgÁªï gÀ¸ÉÛ, ªÉÄʸÀÆgÀÄ -01 New Sayyaji Rao Road, Mysore-01 £ÀÆå ¸ÀAiÀiÁåfgÁªï gÀ¸ÉÛ, ªÉÄʸÀÆgÀÄ -01 New Sayyaji Rao Road, Mysore-01 £ÀÆå ¸ÀAiÀiÁåfgÁªï gÀ¸ÉÛ, ªÉÄʸÀÆgÀÄ -01
Code No: Amount Rs. Code No: Amount Rs. Code No: Amount Rs. Code No: Amount Rs.
501: Examination Fee : 501: Examination Fee : 501: Examination Fee : 501: Examination Fee :
¥ÀjÃPÁë ±ÀÄ®Ì ¥ÀjÃPÁë ±ÀÄ®Ì ¥ÀjÃPÁë ±ÀÄ®Ì ¥ÀjÃPÁë ±ÀÄ®Ì
502: Revaluation / Retotaling Fee : 502: Revaluation / Retotaling Fee : 502: Revaluation / Retotaling Fee : 502: Revaluation / Retotaling Fee :
ªÀÄgÀĪÀiË®åªÀiÁ¥À£À / ªÀÄgÀÄJtÂPÉ ±ÀÄ®Ì ªÀÄgÀĪÀiË®åªÀiÁ¥À£À / ªÀÄgÀÄJtÂPÉ ±ÀÄ®Ì ªÀÄgÀĪÀiË®åªÀiÁ¥À£À / ªÀÄgÀÄJtÂPÉ ±ÀÄ®Ì ªÀÄgÀĪÀiË®åªÀiÁ¥À£À / ªÀÄgÀÄJtÂPÉ ±ÀÄ®Ì
503: Rank / Provisional Certificate Fee : 503: Rank / Provisional Certificate Fee : 503: Rank / Provisional Certificate Fee : 503: Rank / Provisional Certificate Fee :
gÁåAPï/¥Á櫱À£À¯ï ¥ÀæªÀiÁt¥ÀvÀæ ±ÀÄ®Ì gÁåAPï/¥Á櫱À£À¯ï ¥ÀæªÀiÁt¥ÀvÀæ ±ÀÄ®Ì gÁåAPï/¥Á櫱À£À¯ï ¥ÀæªÀiÁt¥ÀvÀæ ±ÀÄ®Ì gÁåAPï/¥Á櫱À£À¯ï ¥ÀæªÀiÁt¥ÀvÀæ ±ÀÄ®Ì
504: Convocation Fee : 504: Convocation Fee : 504: Convocation Fee : 504: Convocation Fee :
WÀnPÉÆÃvÀìªÀ ±ÀÄ®Ì WÀnPÉÆÃvÀìªÀ ±ÀÄ®Ì WÀnPÉÆÃvÀìªÀ ±ÀÄ®Ì WÀnPÉÆÃvÀìªÀ ±ÀÄ®Ì
505: Sale of Old Answer Books : 505: Sale of Old Answer Books : 505: Sale of Old Answer Books : 505: Sale of Old Answer Books :
ºÀ¼Éà GvÀÛgÀ ¥ÀĸÀÛPÀUÀ¼À ªÀiÁgÁl ºÀ¼Éà GvÀÛgÀ ¥ÀĸÀÛPÀUÀ¼À ªÀiÁgÁl ºÀ¼Éà GvÀÛgÀ ¥ÀĸÀÛPÀUÀ¼À ªÀiÁgÁl ºÀ¼Éà GvÀÛgÀ ¥ÀĸÀÛPÀUÀ¼À ªÀiÁgÁl
506: Miscellaneous Fee (Specify) : 506: Miscellaneous Fee (Specify) : 506: Miscellaneous Fee (Specify) : 506: Miscellaneous Fee (Specify) :
EvÀgÉ dªÉÄUÀ¼ÀÄ (¸ÀàµÀÖ¥Àr¹) EvÀgÉ dªÉÄUÀ¼ÀÄ (¸ÀàµÀÖ¥Àr¹) EvÀgÉ dªÉÄUÀ¼ÀÄ (¸ÀàµÀÖ¥Àr¹) EvÀgÉ dªÉÄUÀ¼ÀÄ (¸ÀàµÀÖ¥Àr¹)
......................................................... ......................................................... ......................................................... .........................................................
Total / MlÄÖ gÀÆ. Total / MlÄÖ gÀÆ. Total / MlÄÖ gÀÆ. Total / MlÄÖ gÀÆ.
Amount (in words) Rupees .................................................................................................... Amount (in words) Rupees .................................................................................................... Amount (in words) Rupees .................................................................................................... Amount (in words) Rupees ....................................................................................................
ºÀt gÀÆ. .................................................................................................................... ºÀt gÀÆ. .................................................................................................................... ºÀt gÀÆ. .................................................................................................................... ºÀt gÀÆ. ....................................................................................................................
Note: Fees once paid will not be Refunded. Note: Fees once paid will not be Refunded. Note: Fees once paid will not be Refunded. Note: Fees once paid will not be Refunded.
«.¸ÀÆ: MªÉÄä dªÉÄAiÀiÁzÀ ±ÀÄ®ÌUÀ¼À£ÀÄß ªÀÄgÀÄ¥ÁªÀw¸ÀĪÀÅ¢®è. «.¸ÀÆ: MªÉÄä dªÉÄAiÀiÁzÀ ±ÀÄ®ÌUÀ¼À£ÀÄß ªÀÄgÀÄ¥ÁªÀw¸ÀĪÀÅ¢®è. «.¸ÀÆ: MªÉÄä dªÉÄAiÀiÁzÀ ±ÀÄ®ÌUÀ¼À£ÀÄß ªÀÄgÀÄ¥ÁªÀw¸ÀĪÀÅ¢®è. «.¸ÀÆ: MªÉÄä dªÉÄAiÀiÁzÀ ±ÀÄ®ÌUÀ¼À£ÀÄß ªÀÄgÀÄ¥ÁªÀw¸ÀĪÀÅ¢®è.
Date: Signature of the Remitter Date: Signature of the Remitter Date: Signature of the Remitter Date: Signature of the Remitter
¢£ÁAPÀ: ºÀt ¥ÁªÀw ªÀiÁqÀĪÀªÀgÀ ¸À» ¢£ÁAPÀ: ºÀt ¥ÁªÀw ªÀiÁqÀĪÀªÀgÀ ¸À» ¢£ÁAPÀ: ºÀt ¥ÁªÀw ªÀiÁqÀĪÀªÀgÀ ¸À» ¢£ÁAPÀ: ºÀt ¥ÁªÀw ªÀiÁqÀĪÀªÀgÀ ¸À»
For the use of the Bank For the use of the Bank For the use of the Bank For the use of the Bank
¨ÁåAQ£À G¥ÀAiÉÆÃUÀPÁÌV ªÀiÁvÀæ ¨ÁåAQ£À G¥ÀAiÉÆÃUÀPÁÌV ªÀiÁvÀæ ¨ÁåAQ£À G¥ÀAiÉÆÃUÀPÁÌV ªÀiÁvÀæ ¨ÁåAQ£À G¥ÀAiÉÆÃUÀPÁÌV ªÀiÁvÀæ
The Amount of Rupees (in words)........................................................................................ The Amount of Rupees (in words)........................................................................................ The Amount of Rupees (in words)........................................................................................ The Amount of Rupees (in words)........................................................................................
ªÉÄÃ¯É £ÀªÀÄÆ¢¹zÀ ºÀt gÀÆ. ....................................................................................................CPÀëgÀUÀ¼À°è ªÉÄÃ¯É £ÀªÀÄÆ¢¹zÀ ºÀt gÀÆ. ....................................................................................................CPÀëgÀUÀ¼À°è ªÉÄÃ¯É £ÀªÀÄÆ¢¹zÀ ºÀt gÀÆ. ....................................................................................................CPÀëgÀUÀ¼À°è ªÉÄÃ¯É £ÀªÀÄÆ¢¹zÀ ºÀt gÀÆ. ....................................................................................................CPÀëgÀUÀ¼À°è
............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................
has been received / ¸ÀAzÁAiÀĪÁVzÉ. has been received / ¸ÀAzÁAiÀĪÁVzÉ. has been received / ¸ÀAzÁAiÀĪÁVzÉ. has been received / ¸ÀAzÁAiÀĪÁVzÉ.
Challan No. Challan No. Challan No. Challan No.
Date & Signature of the Officer Date & Signature of the Officer Date & Signature of the Officer Date & Signature of the Officer
Bank Seal receiving the money Bank Seal receiving the money Bank Seal receiving the money Bank Seal receiving the money
¢£ÁAPÀ ªÀÄvÀÄÛ ¨ÁåAQ£À ªÀÄÄzÉæ ºÀt ¹éÃPÀj¸ÀĪÀ C¢üPÁjAiÀÄ ¸À» ¢£ÁAPÀ ªÀÄvÀÄÛ ¨ÁåAQ£À ªÀÄÄzÉæ ºÀt ¹éÃPÀj¸ÀĪÀ C¢üPÁjAiÀÄ ¸À» ¢£ÁAPÀ ªÀÄvÀÄÛ ¨ÁåAQ£À ªÀÄÄzÉæ ºÀt ¹éÃPÀj¸ÀĪÀ C¢üPÁjAiÀÄ ¸À» ¢£ÁAPÀ ªÀÄvÀÄÛ ¨ÁåAQ£À ªÀÄÄzÉæ ºÀt ¹éÃPÀj¸ÀĪÀ C¢üPÁjAiÀÄ ¸À»
To be sent to State Bank Of Mysore, Manasagangotri Branch, Mysore - 570 006 and State Bank Of India, (To be issued to the Remitter) (Student Copy)
To be retained with the receiving Bank
New Sayyaji Rao Road, Mysore - 1, by the receiving Bank along with M.T. and Statement (Student will send this copy to the University) (No separate receipt will be issued)