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(Challan for KSPC Online Registration ) REGISTRANT’S COPY

www.sbtonline.in

Online Registration ) REGISTRANT’S COPY www.sbtonline.in PAY IN SLIP State Bank of Travancore Branch : Date

PAY IN SLIP

State Bank of Travancore

Branch :

Date

20

Account Name :

 

Kerala State Pharmacy Council

Account No.

:

67335018932

Branch

:

TVM Main Branch (000028)

   

DENO

PIECES

Amount

Registrant’s Name

 

Rs

Ps

and Address

       
       
 

1000

x

500

x

   

CASH DEPOSIT

100

x

   

50

x

   

20

x

   
 

10

x

   

Tel / Mob

5

x

   

coin

   

Signature of Depositor

Total

   

Rupees( in words)

For office use only

TRAN.ID

Cashier

Authorised Signatory

(Challan for KSPC Online Registration ) KSPC COPY

www.sbtonline.in

for KSPC Online Registration ) KSPC COPY www.sbtonline.in PAY IN SLIP State Bank of Travancore Branch

PAY IN SLIP

State Bank of Travancore

Branch :

Date

20

Account Name :

 

Kerala State Pharmacy Council

Account No.

:

67335018932

Branch

:

TVM Main Branch (000028)

   

DENO

PIECES

Amount

Registrant’s Name

 

Rs

Ps

and Address

       
       
 

1000

x

500

x

   

CASH DEPOSIT

100

x

   

50

x

   

20

x

   
 

10

x

   

Tel / Mob

5

x

   

coin

   

Signature of Depositor

Total

   

Rupees( in words)

For office use only

TRAN.ID

Cashier

Authorised Signatory

(Challan for KSPC Online Registration )

(Challan for KSPC Online Registration ) Branch : BANK COPY www.sbtonline.in PAY IN SLIP State Bank

Branch :

BANK COPY

www.sbtonline.in

PAY IN SLIP

State Bank of Travancore

Date

20

Account Name :

 

Kerala State Pharmacy Council

Account No.

:

67335018932

Branch

:

TVM Main Branch (000028)

   

DENO

PIECES

Amount

Registrant’s Name

 

Rs

Ps

and Address

       
       
 

1000

x

500

x

   

CASH DEPOSIT

100

x

   

50

x

   

20

x

   
 

10

x

   

Tel / Mob

5

x

   

coin

   

Signature of Depositor

Total

   

Rupees( in words)

For office use only

TRAN.ID

Cashier

Authorised Signatory