You are on page 1of 1

STUDENT/APPLICANT COPY

BANK COPY

Universal Institute of Employment Services

Universal Institute of Employment Services

R-15 A, First Floor,


Nr. Hotel Shikha,
Yudhisthir Marg, C Scheme,
Jaipur 302001.
The PAN NO. of the Education Institution: AAEFU6913A

R-15 A, First Floor,


Nr. Hotel Shikha,
Yudhisthir Marg, C Scheme,
Jaipur 302001.
The PAN NO. of the Education Institution: AAEFU6913A

Name of bank:
ICICI BANK
Name of branch:
Date of
Deposit:(DDMMYY)
(to be treated by student / Donor as fee receipt)
Account to be credited 093005002139
Universal Institute Of Employment
1. Account Name
Services
2. Student's Name
BHUPENDRA
3. Roll no. / Student
R002280
Code/Applicant ID
4. Class /Semester
NA
5. Course/Year
NA
6. Amount
Rs. 380
7. Amount in words
Rupees:Three Hundred Eighty Only
8. Cash Details:
Denomination
Amount
100X
50X
20X
10X
5X
Coins
Total
SINGH BHUPENDRA
9. Full Name of
MANOHARSINGH
Student
10. Full Name of Father SINGH MANOHARSINGH
9660575350
11. Contact No
12.Transaction ID
(To be filled by Bank)

Name of bank:
ICICI BANK
Name of branch:
Date of
Deposit:(DDMMYY)
(to be treated by student / Donor as fee receipt)
Account to be credited 093005002139
Universal Institute Of Employment
1. Account Name
Services
2. Student's Name
BHUPENDRA
3. Roll no. / Student
R002280
Code/Applicant ID
4. Class /Semester
NA
5. Course/Year
NA
6. Amount
Rs. 380
7. Amount in words
Rupees:Three Hundred Eighty Only
8. Cash Details:
Denomination
Amount
100X
50X
20X
10X
5X
Coins
Total
SINGH BHUPENDRA
9. Full Name of
MANOHARSINGH
Student
10. Full Name of Father SINGH MANOHARSINGH
9660575350
11. Contact No
12.Transaction ID
(To be filled by Bank)

Signature/ Stamp ICICI Bank Ltd

Signature/ Stamp ICICI Bank Ltd

Signature of Depositor

Signature of Depositor

You might also like