Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 13-12-2017 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Benificiary/Remittance Details Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
Date: 13-12-2017
State Bank MOPS Reference No. CPB9857796
Benificiary/Remittance Details
Beneficiary: Motilal Nehru National Institute of Techonology Allahabad
Merchant Reference No: KNP68AD3208A1 State Bank MOPS Reference No. CPB9857796

Name of Candidate: AASHI SHRINATE Beneficiary: Motilal Nehru National Institute of Techonology Allahabad

Registration No: INR Merchant Reference No: KNP68AD3208A1

Fee Type: INR Name of Candidate: AASHI SHRINATE

PURPOSE: Semester Registration No: INR

Fee Type: INR
Rs P
Collection Amount 68600 00 PURPOSE: Semester
Comission 59 00 Rs P
Total ( Sixty Eight Thousand And Six Hundred And Fifty Nine Rupees Only) 68659 00 Collection Amount 68600 00
Comission 59 00
Details of Cash / Cheques Rs p Total ( Sixty Eight Thousand And Six Hundred And Fifty Nine Rupees Only) 68659 00
Mode of Payment (Choose Either Cash / Cheque)
Cash

Total Rs Amount
Cash Notes Rs P
Instructions for Depositor: This is not an e-receipt.After depositing Fee, please Update Transaction at Institute's
Web-site to get e-Receipt. *2000
*500
(To be Filled in by the Bank) *100
Journal No: *50
*20
*10
Branch Name:
Coins
Branch Code: Deposit Date:
Total Rs

Branch Stamp Cheque

Cheque No:
Cheque Date:
Authorised Signatory
Drawee Bank & Branch: State Bank of India

Branch :

Signature of the Depositor

Branch Stamp