Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Branch Teller: Use SCR 008765Deposit>Fee Collection>State Bank Collect

Benificiary/Remittance Details
State Bank MOPS Reference No. CP09813237
Beneficiary: GATE IIT
Merchant Reference No: 10127512
Fee Type: GATE-2015
Name Of Candidate: RANJIT KUMAR SAMAL
GATE Enrolment ID: G210B20
Last Date Of Deposit : 04102014
Rs P
Collection Amount 1500 00
Commission 56 00
Total ( One Thousand And Five Hundred And Fifty Six Rupees Only) 1556 00
Cheque No:
Cheque Date:
Drawee Bank & Branch:State Bank of India
Branch :
Space for Bank use
Date:12-09-2014 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch
Benificiary/Remittance Details
State Bank MOPS Reference No. CP09813237
Beneficiary: GATE IIT
Merchant Reference No: 10127512
Fee Type: GATE-2015
Name Of Candidate: RANJIT KUMAR SAMAL
GATE Enrolment ID: G210B20
Last Date Of Deposit : 04102014
Rs P
Collection Amount 1500 00
Commission 56 00
Total ( One Thousand And Five Hundred And Fifty Six Rupees Only) 1556 00
(To be Filled in by the Bank)
Branch Name:
Date:12-09-2014
Depositor Copy
p Rs Details of Cash / Cheques

Total Rs
Instructions for Depositor: This is not e-receipt. After next day of depositing Fee, please visit GATE site for rest of the
process. https://appsgate.iitk.ac.in

CP09813237 Journal No:

Deposit Date: Branch Code:
Branch Stamp
Authorised Signatory
Branch Copy

Cheque

Cash
(Choose Either Cash / Cheque) Mode of Payment
Cash Notes
Rs P
Amount
*1000
*500
*100
*50
*20
*10
Coins
Total Rs
Signature of the Depositor
Branch Stamp