zz

MaRRS Intellectual Services Pvt Ltd Unichira, Cochin 21 Date: ...

MaRRS Intellectual Services Pvt Ltd Unichira, Cochin 21 PAY-IN-SLIP No. Date: ...

MaRRS Intellectual Services Pvt Ltd Unichira, Cochin 21 PAY-IN-SLIP No. Date: ...

PAY-IN-SLIP No.

Axis Bank
Branch Name: ____________________

Axis Bank
Branch Name: ____________________

Axis Bank
Branch Name: ____________________

CASH

Bank Copy
(To be retained by Axis Bank Collecting Branch)
Axis Bank Branch, please credit: MaRRS Intellectual Services P Ltd.'' Axis Bank Current A/c No. 912020064176932 CIN (FORM No ) Name of the Candidate SCHOOL address Category Phone No. EMAIL ID SCHEME (tick The option)
Fw Email

CASH

CASH

Candidate Copy
(To be retained by the Candidate)
Axis Bank Branch, please credit: ' MaRRS Intellectual Services P Ltd.'' Axis Bank Current A/c No. 912020064176932 CIN (form no) Name of the Candidate SCHOOL addresss Category Phone No.
Email

(To be sent by the Candidate to the University)

Axis Bank Branch,please credit: MaRRS Intellectual Services P Ltd.' Axis Bank Current A/c No. 912020064176932 CIN (form No) Name of the Candidate SCHOOL address Category Phone No. EMAIL ID
E mail

Institute Copy

EMAIL ID TRAINING / COMPETITION Scheme (tick The option) TRAINING / COMPETITION

Schemetick The option)

F

TRAINING / COMPETITION

Prospectus cost paid

Rs. Rupees

475/-

Prospectus cost paid

Rs. Rupees

475/-

Prospectus cost paid

Rs. Rupees

475/-

Denomination of Notes

Four hundred seventy five only

Denomination of Notes

Four hundred seventy five only Denomination of Notes

Four hundred seventy five only

Depositors Signature Received the above amount on 2013 Transaction Number Cashier Cashier's Scroll No.

Depositors Signature Received the above amount on 2013 Transaction Number Cashier Cashier's Scroll No.

Depositors

Signature

Received the above amount on 2013 Transaction Number Cashier Cashier's Scroll No.

Note: To be accepted at the designated Axis Bank Branch , funds to be credited to ' MaRRS Intellectual Services P Ltd. Axis Bank Current A/c No. 912020064176932.

Note: To be accepted at the designated Axis Bank Branch , funds to be credited to ' MaRRS Intellectual Services P Ltd.' Axis Bank Current A/c No. 912020064176932.

Note: To be accepted at the designated Axis Bank Branch , funds to be credited to ' MaRRS Intellectual Services P Ltd.' Axis Bank Current A/c No. 912020064176932.