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BANK COPY

Date:____/___/20___

Students Signature

Bank Journal No.__________

TATA INSTITUTE OF SOCIAL SCIENCES


MUMBAI 400 088

STATE BANK OF INDIA (Deonar Branch)


Branch Code 3109
TISS Fees A/c 31134925071
Student Name: DR. TRUPTIBEN NAVINCHANDRA
PATEL______________________________________

Bank Seal with


Signature

TISS COPY
Date:____/___/20___

Date:____/___/20___

TATA INSTITUTE OF SOCIAL SCIENCES


MUMBAI 400 088

STATE BANK OF INDIA (Deonar Branch)


Branch Code 3109
TISS Fees A/c 31134925071
Student Name: DR. TRUPTIBEN NAVINCHANDRA
PATEL______________________________________

Programme: HO______________________________

Enroll. No. 2010HO040________________Sem. third

Particulars
Fees
Insurance
Development Fee
Study Tour/Rural Camp
Deposits
Hostel Charges
Dining Hall Advance

Total Rs.

Amount
Rs.
1600

1600

Note: Additional Bank Charges Rs. 50/-

______________________
Bank Seal with
Signature

STUDENT COPY

Bank Journal No.__________

Enroll. No. 2010HO040________________Sem. third

Sl.
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

____________________
Students Signature

Bank Journal No.__________

TATA INSTITUTE OF SOCIAL SCIENCES


MUMBAI 400 088

STATE BANK OF INDIA (Deonar Branch)


Branch Code 3109
TISS Fees A/c 31134925071
Student Name: DR. TRUPTIBEN NAVINCHANDRA
PATEL______________________________________
Enroll. No. 2010HO040________________Sem. third

Programme: HO______________________________
Sl.
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Particulars
Fees
Insurance
Development Fee
Study Tour/Rural Camp
Deposits
Hostel Charges
Dining Hall Advance

Total Rs.

Amount
Rs.
1600

1600

Amount in Words (Rupees ______________________

Note: Additional Bank Charges Rs. 50/-

one thousand six hundred ______________________)

Amount in Words (Rupees ______________________

Programme: HO______________________________
Sl.
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Particulars
Fees
Insurance
Development Fee
Study Tour/Rural Camp
Deposits
Hostel Charges
Dining Hall Advance

Total Rs.

Amount
Rs.
1600

1600

Note: Additional Bank Charges Rs. 50/Amount in Words (Rupees ______________________


one thousand six hundred ______________________)
one thousand six hundred ______________________)

____________________

______________________

____________________
Students Signature

______________________
Bank Seal with
Signature

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