PONDICHERRY ENGINEERING COLLEGE

PILLAICHAVADY,PUDUCHERRY – 605 014

Autonomous Institution of Government of Puducherry
(Affiliated to Pondicherry University)
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Name of the Examiner:__________________________ Name of the Bank_____________________

Designation and College:_________________________ Branch:______________________________
Address:______________________________________ CBS Account NO:______________________
_____________________________________________ I.f.S.C. Code No:_______________________
_____________________________________________
_____________________________________________

Course B.Tech./M.Tech/MCA
Semester
Code & Subject
No. of Question Paper Set One/Two/Three
Per Question paper Rs.1000/- Total Rs.

Received from the Dean (Examinations), Pondicherry engineering College, Puducherry-605 014 a sum of
Rs. _________ (Rupees__________________________________________________________________
only) towards the remuneration for Question paper setting and transmission charges for Dec/May-201
semester examinations.

Date: SIGNATURE OF THE CLAIMANT

May be admitted and passed for payment of Rs.________

DEAN (EXAMINATIONS)
FOR OFFICE USE ONLY
Bill No. and Date

Passed for Rs._____________ (Rupees__________________________________________________only)

Amount Transferred on: Cashier Signature: Date