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Multi-Utility Payment Challan Form

This document is a payment challan for fees totaling 320 rupees paid by Selvam with registration number 47480. The fees include a 300 rupee charge for genuineness verification and a 20 rupee bank charge. The total payable amount is noted as 320 rupees in words. The customer is provided with a reference number and instructions to make the payment online via net banking or by submitting the challan at an Indian Bank branch within 10 days.

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magicpal
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594 views1 page

Multi-Utility Payment Challan Form

This document is a payment challan for fees totaling 320 rupees paid by Selvam with registration number 47480. The fees include a 300 rupee charge for genuineness verification and a 20 rupee bank charge. The total payable amount is noted as 320 rupees in words. The customer is provided with a reference number and instructions to make the payment online via net banking or by submitting the challan at an Indian Bank branch within 10 days.

Uploaded by

magicpal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Challan For MultiUtilty 1

Customer / Branch / Institution Copy


DOTE FEE COLLECTION
Pay-In-Slip (To be filled in Triplicate)

Reference No : MU0055131313 Journal No.: Date:


_________________________________________________________________________________________________________________
NAME : Selvam REGISTRATION NO : 47480
DETAILS OF FEES : 320

_________________________________________________________________________________________________________________

CERT CORRECTION : Rs. 0.00 DUPLICATE CERT FEES : Rs. 0.00


FEES
MIGRATION CERT FEES : Rs. 0.00 TRANSCRIPTION FEES : Rs. 0.00
GENUINESS VERIFIC : Rs. 300.00 OTHER / MISC. FEES : Rs. 0.00
FEES
Total Amount : Rs. 300.00 Bank Charge : Rs. 20.00
Total Payable Amount : Rs. 320.00 Amount in Words :Rupees Three Hundred and
Twenty Only

_________________________________________________________________________________________________________________

Branch Code : ................. Branch Name :..................

SIGNATURE OF BANK CASHIER SIGNATURE OF BANK MANAGER SIGNATURE OF THE CANDIDATE


WITH STAMP

Address :

Contact No.:

* Kindly make note of the above 'UTILITY REF NUMBER' (OR) take 3 copies of printouts of the above generated PAYMENT CHALLAN for the purpose of making PAYMENT.

* The payment can be made ONLINE THROUGH INDIAN BANK NETBANKING (or) at any branches of INDIAN BANK by duly submitting the copy of the above PAYMENT CHALLAN.

* The payment with the above 'UTILITY REF NUMBER' is valid for 10 days only. If not remitted within 10 days, fresh registration is required.

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