Professional Documents
Culture Documents
Date:__/__/_____
Date:__/__/_____
Date:__/__/_____
DEPARTMENT COPY
STUDENT COPY
BANK COPY
Account Details
Account Details
Account Details
Account Holder
Account Holder
Account Holder
IFSC Code
STBP0001175
IFSC Code
STBP0001175
IFSC Code
STBP0001175
Online Mode
RTGS/NEFT/GRPT
Online Mode
RTGS/NEFT/GRPT
Online Mode
RTGS/NEFT/GRPT
Student Details
Student Details
Student Details
Roll No.
Roll No.
Roll No.
Student Name
Student Name
Student Name
Course
Course
Course
Semester
Semester
Semester
Fee Category
Fee Category
Fee Category
Fee Amount
Fee Amount
Fee Amount
Cash Particulars
Payment mode
Currency
Cash Particulars
Amount (Rs.)
Payment mode
Amount (Rs.)
Payment mode
Currency
1000
1000
1000
500
500
500
100
100
100
50
50
50
10
10
10
TOTAL
TOTAL
Journal No.:____________
Date:
Currency
Cash Particulars
TOTAL
Journal No.:____________
Signature
Date:
Amount (Rs.)
Journal No.:____________
Signature
Date:
Signature