Students/ Remitters Copy

Universitys Copy
(To be attached along with the relevant document)

Banks Copy

MAHATMA GANDHI
UNIVERSITY

MAHATMA GANDHI
UNIVERSITY

MAHATMA GANDHI
UNIVERSITY

In Pursuit
Pursuit of Excellence

In Pursuit
Pursuit of Excellence

In Pursuit
Pursuit of Excellence

Pay in- Slip

Pay in- Slip

Pay in- Slip

Paid to the credit of Mahatma Gandhi University

A/c No. 67114059391 at SBT MG University Campus
Branch, Kottayam

Paid to the credit of Mahatma Gandhi University

A/c No. 67114059391 at SBT MG University Campus
Branch,
Kottayam

Paid to the credit of Mahatma Gandhi University

A/c No. 67114059391 at SBT MG University Campus Branch,
Kottayam

Pay in- Slip

Pay in- Slip

Pay in- Slip

Affiliation Fee

Viz. Course affiliation /College affiliation /

Students affiliation

Affiliation Fee

Viz. Course affiliation /College affiliation /

Students affiliation

Viz. Course affiliation /College affiliation /

Students affiliation

B
C

Annual Administration Fee

Registration Fee Examination/Entrance
Examination/Matriculation
Application Form Fee
Certificates Fee
Degree/Provisional/Duplicate/Migration/Other
Certificates
Fee to University Teaching
Departments/Hostels/Library
Reimbursement from various Departments
Other items of Fee (Specify)

Bank Charges

B
C

Annual Administration Fee

Registration Fee Examination/Entrance
Examination/Matriculation
Application Form Fee
Certificates Fee
Degree/Provisional/Duplicate/Migration/Other
Certificates
Fee to University Teaching
Departments/Hostels/Library
Reimbursement from various Departments
Other items of Fee (Specify)

Bank Charges

B
C

Annual Administration Fee

Registration Fee Examination/Entrance
Examination/Matriculation
Application Form Fee
Certificates Fee
Degree/Provisional/Duplicate/Migration/Other
Certificates
Fee to University Teaching
Departments/Hostels/Library
Reimbursement from various Departments
Other items of Fee (Specify)

..
Bank Charges

D
E

F
G
H

D
E

F
G
H

20

Total
Rupees(in words).......................

D
E

F
G
H

20

Total
Rupees(in words)........................

Affiliation Fee

20

Rupees(in words)........................

Particulars of the Candidate for whom the remittance is made

Particulars of the Candidate for whom the remittance is made

Particulars of the Candidate for whom the remittance is made

Name:
Address:
.
Phone/Mobile No:
Remitters Signature:
Bank Txn Journal No:

Name:
Address:
.
Phone/Mobile No:
Remitters Signature:
Bank Txn Journal No:

Name:
Address:
..
Phone/Mobile No:
Remitters Signature:
Bank Txn Journal No:

SBT Branches be guided by C & I Circular No.28/2009

dated 08/12/2009

SBT Branches be guided by C & I Circular No.28/2009

dated 08/12/2009

SBT Branches be guided by C & I Circular No.28/2009

dated 08/12/2009