Professional Documents
Culture Documents
"TM"
(Bank Copy)
(Institute Copy)
DIST. NO.
(Applicant Copy)
Branch
DIST. NO.
Branch
Institute ID
UPCLD
Collection Code
Application No
Institute ID
Applicant Name
Date of Deposit
Particulars of fees
Amount in Rs
Particulars of fees
302112
Applicant Name
RICHA VERMA
Mobile No.
Date of Deposit
Application No
8860903989
Applied
Category
UPCLD
Collection Code
RICHA VERMA
Mobile No.
Institute ID
302112
Applicant Name
8860903989
Applied
Category
Application No
RICHA VERMA
Mobile No.
UPCLD
Collection Code
302112
DIST. NO.
Branch
Amount in Rs
8860903989
Applied
Category
Date of Deposit
Particulars of fees
Rs 400/-
Application Fee
Rs 400/-
Application Fee
Rs 400/-
Service Charges
Rs 50/-
Service Charges
Rs 50/-
Service Charges
Rs 50/-
Total Amount
Rs 450/-
Total Amount
Rs 450/-
Total Amount
Rs 450/-
Details of Cash:
Amount
Details of Note
Details of Cash:
Amount
Details of Note
Candidate's Signature
Amount
Details of Note
1000 x
1000 x
500 x
500 x
500 x
100 x
100 x
100 x
50 x
50 x
50 x
20 x
20 x
20 x
10 x
10 x
10 x
5x
5x
5x
2x
2x
2x
1x
1x
1x
Coins
Coins
Coins
TOTAL
TOTAL
Amt in Words
Cashier
Rs
1000 x
Amt in Words
Cashier's
Transfer Scroll
Rs
Passing
Authority
Cashier's
Transfer Scroll
Amount in Rs
Application Fee
Details of Cash:
TOTAL
Amt in Words
Cashier
Candidate's Signature
Passing
Authority
Cashier's
Transfer Scroll
Cashier
Candidate's Signature
Passing
Authority
Rs