18 March 2014 The Admissions Office Central Queensland University, Australia

F I N A N C I A L S V E R T I F I C AT I O N M AT R I X
Dear Sir or Madam, I / We provide the following information for your kind perusal. I / we have verified the below mentioned financial documents of Student ID S 0 _ _ _ _ _ _, Student Name _____________________________. All financial income documents. viz. (FDs, bank loan, bank account balance (including sponsors), saving documents (without any Lien) Agriculture Income Certificate, Rent / Lease Agreements Provided by student and amount demonstrated are Genuine and valid
Name, Job Title(if any) of the Person who verified from your agency Date & Time of verification Bank Name Bank Branch / Concerned Authority Name Telephone No. & Email ID of Bank / Concerned authority

Name / Type of Financial Instrument Verified
Eg FD or Bank Loan or PF Please do mention FD numbers and account numbers Type Here details and take a print out and sign and affix agency stamp. Insert more rows if required Use two pages if the data flows into separate pages.

Name, Job Title of Bank Official / concerned authority

This is true to the best of my/ our knowledge. Signature Name : _____________________________________________ : _____________________________________________ AFFIX AGENCY STAMP HERE

Agency Name & Stamp : _____________________________________________ Date: Place
CQ University, Australia

Tuesday, March 18, 2014 : ______________________________________________
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