Depositor Copy

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

Date: 22-01-2015

Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch
Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect

Beneficiary/Remittance Details

Date: 22-01-2015

State Bank Collect Reference No.

DU10495421

Beneficiary:

DEENBANDHU CHHOTU RAM UNIVERSITY OF SCIENCE

AND TECHNOLOGY

Beneficiary/Remittance Details

Category:

University Fee

State Bank Collect Reference No.

Last Date of Payment:

11-02-2015 23:45

Beneficiary:

Remitter

nitish kumar

DEENBANDHU CHHOTU RAM UNIVERSITY OF SCIENCE

AND TECHNOLOGY

Category:

University Fee

Last Date of Payment:

11-02-2015 23:45

Remitter

nitish kumar

Rs
Collection Amount
Comission
Total (Rupees Eleven Thousand Five Hundred Fifty Six Only)
Details of Cash / Cheques

11,500.00
56.00
11,556.00
Rs

DU10495421

Rs
Collection Amount
Comission
Total (Rupees Eleven Thousand Five Hundred Fifty Six Only)

11,500.00
56.00
11,556.00

Mode of Payment (Choose Either Cash / Cheque)

Total Rs

Cash

Instructions for Depositor: This is not an e-receipt. After payment , please visit www.onlinesbi.com > 'State Bank
Collect' and click on the hyperlink at the bottom of the page to generate the e-receipt.

PAN:

Please quote your PAN for Cash remittance >= Rs. 50,000

Amount

Cash Notes

Rs

*1000
*500
*100
(To be Filled in by the Bank)
Journal No:

*50
*20

DU10495421

*10
Coins

Branch Name:

Total Rs
Branch Code:

Deposit Date:
Cheque
Branch Stamp

Cheque No:
Cheque Date:
Drawee Bank: State Bank of India (other bank cheques not accepted under PAP)

Authorised Signatory

Branch:
Signature of the Depositor
Space for Bank use

Branch Stamp