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MBA-RM Payment Advice Form

XIMB ID: Form No: XAT ID: Name: Mailing address: XIMB84703 235891 XAT404252 Mark Linekar E C-23 Community welfare Road, Block-9, Neyveli - 607801 Tamil Nadu You should send this Payment Advice Form immediately to XIMB along with the respective application fee payment instrument, as mentioned below. The application fee (non-refundable) is Rs.1300/- for one application form, and Rs.750/each for every additional form. The application fee may be paid in one of the following methods: 1. Use the Payment Gateway link available on the XIMB application page to pay the relevant application fee (those applying via multiple tests and/or applying for multiple programs can pay the consolidated amount in a single transaction) through: a) Net Banking using your account holding banks net banking options (of any bank in India); or b) Credit / Debit Cards of any bank in India; (You should send to XIMB the PA Form(s) along with a copy of Payment Gateway Response, as proof of payment.) OR 2. Get a demand draft, from any bank, for the relevant application fee, favouring "Xavier Institute of Management, Bhubaneswar ", and payable at Bhubaneswar (main branch).

Send the Payment Advice Form (s) along with the copy of Payment Gateway Response or DD by Registered Post or Speed Post or Courier, addressed to:

The Admissions Office, Xavier Institute of Management, Xavier Square, Bhubaneswar- 751 013. (Local applicants may submit the payment advice form(s) and the relevant application fee instrument at the Admissions Office counter and collect the Bulletin-2014, in person.)

Your application for admission will be accepted only on receipt of application fee by XIMB. A registration confirmation note has already been generated and sent to you by email. Upon receipt and processing of your application fee instrument/ payment proof and Payment Advice Form, a message confirming the acceptance of your application will reach you by email. Subsequently, the information Bulletin-2014 will be sent to your current address, by post. The last date for receiving the application fee along with payment advice form at XIMB is December 31, 2013 .