P.U.R.C.

/5000/22-1-2013

(For Bank Use)

(For Student)

Cash Deposit
Dated________
State Bank of India, Civil
Lines,
Ludhiana.
Please credit to Current A/c
No.
C/A 10883075125 of
Registrar P.U.
Chandigarh with S.B.I.
Ludhiana
Depositors

Cash Deposit
Dated________
State Bank of India, Civil
Lines,
Ludhiana.
Please credit to Current A/c
No.
C/A 10883075125 of
Registrar P.U.
Chandigarh with S.B.I.
Ludhiana
Depositors

Name_____________________

Name_____________________

Class______________________

Class______________________

Semester__________________

Semester__________________

Roll
No.________Session______

Roll
No.________Session______

PUNJAB UNIVERSITY
REGIONAL CENTRE,
LUDHIANA
1. Tuition
Fee_______________
2. Development
Fund_________
3. Amalgamated
Fund________

PUNJAB UNIVERSITY
REGIONAL CENTRE,
LUDHIANA
1. Tuition Fee_______________
2. Development
Fund_________
3. Amalgamated
Fund________
4. Admission Fee____________

4. Admission
Fee____________
5.Examination
Fee___________

5.Examination
Fee___________
6. Multipurpose Auditorium

6. Multipurpose Auditorium

Fee_______________________

Fee_______________________

7. Late Fee_________________

7. Late Fee_________________
8. Other
Charges_____________
9. Cost of
Form______________

8. Other
Charges_____________
9. Cost of
Form______________
Total_____________________

(For Institute
Use)

(For Accounts
Branch Use)

Cash Deposit
Dated________
State Bank of India, Civil
Lines,
Ludhiana.
Please credit to Current A/c
No.
C/A 10883075125 of
Registrar P.U.
Chandigarh with S.B.I.
Ludhiana
Depositors

Cash Deposit
Dated________
State Bank of India, Civil Lines,
Ludhiana.
Please credit to Current A/c No.
C/A 10883075125 of Registrar
P.U.
Chandigarh with S.B.I. Ludhiana
Depositors

Name_____________________

Semester__________________

Class______________________

Roll No.________Session______

Semester__________________

PUNJAB UNIVERSITY
REGIONAL CENTRE,
LUDHIANA

Roll
No.________Session______

PUNJAB UNIVERSITY
REGIONAL CENTRE,
LUDHIANA

Name_____________________
Class______________________

1. Tuition Fee_______________
2. Development Fund_________
3. Amalgamated Fund________

1. Tuition
Fee_______________
2. Development
Fund_________

4. Admission Fee____________
5.Examination Fee___________
6. Multipurpose Auditorium

3. Amalgamated
Fund________
4. Admission
Fee____________

Fee_______________________
7. Late Fee_________________
8. Other Charges_____________

5.Examination
Fee___________

9. Cost of Form______________

6. Multipurpose Auditorium

Total_____________________

Fee_______________________

In Words___________________

7. Late Fee_________________

Signature__________________

8. Other
Charges_____________

Total_____________________

In Words___________________

In Words___________________

Signature__________________

Signature__________________

9. Cost of
Form______________
Total_____________________
In Words___________________
Signature__________________