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S G P G I LUCKNOW
SGPGI CAMPUS RAE BAREILLY ROAD LUCKNOW , , LUCKNOW-226014
Date: 19-May-2019

e-Receipt for State Bank Collect Payment

SBCollect Reference Number DUB3353856

Category APPL. FEE B.SC/MSc COLLEGE OF MEDICAL TECHNOLOGY

CATEGORY BSc

ADVERTISEMENT NO I/05/CMT/2019-20

COURSE APPLYING FOR BSc IN RADIOTHERAPY TECHNOLOGY

NAME OF APPLICANT gargi shukla

FATHER NAME umakant shukla

MOTHER NAME sanno devi

DATE OF BIRTH 10/5/2001

MOBILE NO (10 DIGIT) 7800686745

E-MAIL ID shuklagargi8565@gmail.com

FEE AMOUNT Rs.1000/

FEE AMOUNT 1000

Transaction charge 11.80

Total Amount (In Figures) 1,011.80

Total Amount (In Words) Rupees One Thousand Eleven and Paise Eighty Only

Remarks

Notification 1 FILL YOUR NAME AS PER HIGH SCHOOL MARKSHEET OR AS PER LEGAL
DOCUMENT ONLY . PLEASE READ THE RELEVANT ADVERTISEMENT
BEFORE SUBMITTING THE FEE. FEE ONCE DEPOSTIED WILL NOT BE
REFUNDED, DETAIL ONCE SUBMITTED ABOVE CANNOT BE CHANGED.
PLEASE FILL UP THE APPLICATION FORM AT www.sgpgi.ac.in AFTER ONE
CLEAR WORKING DAY OF DEPOSITING THE FEE.

Notification 2

1 of 1 5/21/2019, 7:53 PM