Form Copy Institution Copy Bank's Copy Student/Applicant Copy

Deccan Education Society's Deccan Education Society's Deccan Education Society's Deccan Education Society's
WILLINGDON COLLEGE, SANGLI. WILLINGDON COLLEGE, SANGLI. WILLINGDON COLLEGE, SANGLI. WILLINGDON COLLEGE, SANGLI.

2019-2020 2019-2020 2019-2020 2019-2020

Bank Name : Sangli Urban Co-Operative
CVQSGHGS CVQSGHGS CVQSGHGS
Bank
Bank Name : Sangli Urban Co-Operative Bank Name : Sangli Urban Co-Operative Account to be : 0050042010022433 Bank Name : Sangli Urban Co-Operative
Bank Bank credited Bank
Account to be : 0 0 5 0 0 4 2 0 1 0 0 2 2 4 3 3 Account to be : 0 0 5 0 0 4 2 0 1 0 0 2 2 4 3 3 Account to be : 0 0 5 0 0 4 2 0 1 0 0 2 2 4 3 3
credited credited 1. Category : SEBC ( MAHARASHTRA credited
STUDENT )
1. GST Number : : - - - - - - - - - - 1. GST Number : : - - - - - - - - - - 2. Name : RUTUJA PRABHAKAR GADKARI 1. GST Number : : - - - - - - - - - -
2. Name : RUTUJA PRABHAKAR GADKARI 2. Name : RUTUJA PRABHAKAR GADKARI 2. Name : RUTUJA PRABHAKAR GADKARI
3. Class : FY BSC 4. Division :
3. Class : FY BSC 4. Division : 3. Class : FY BSC 4. Division : SEM I 3. Class : FY BSC 4. Division :
SEM I SEM I 5. Roll No. : SEM I
5. Roll No. : 5. Roll No. : 6. Email . : rutugadkari051@gmail.com 5. Roll No. :
6. Email . : rutugadkari051@gmail.com 6. Email . : rutugadkari051@gmail.com 7. Mobile No. : 6. Email . : rutugadkari051@gmail.com
9373014213
7. Mobile No. : 9373014213 7. Mobile No. : 9373014213 8. Course/ : 7. Mobile No. : 9373014213
F.Y.BSc(General)Self Finance
8. Course/ : F.Y.BSc(General)Self Finance 8. Course/ : F.Y.BSc(General)Self Finance Academic Year 2019 - 2020 8. Course/ : F.Y.BSc(General)Self Finance
Academic Year 2019 - 2020 Academic Year 2019 - 2020 Academic Year 2019 - 2020
9. Amount : Rs. 8775.00 ONLY
Sr. Fees Actual Paid Sr. Fees Actual Paid Sr. Fees Actual Paid
No. Amount No. Amount 10. Amount in : Rs. EIGHT THOUSAND SEVEN No. Amount
words HUNDRED SEVENTY FIVE ONLY
1 Admission Fee 10 1 Admission Fee 10 1 Admission Fee 10
11. Cash Details
2 Tuition Fee 7500 2 Tuition Fee 7500 2 Tuition Fee 7500
Denomination Amount
3 Development Fund 50 3 Development Fund 50 3 Development Fund 50
2000 X
4 Extra Curricular Fee 25 4 Extra Curricular Fee 25 4 Extra Curricular Fee 25
500 X
5 Gymkhana Fee 80 5 Gymkhana Fee 80 5 Gymkhana Fee 80
200 X
6 Identity Card Fee 50 6 Identity Card Fee 50 6 Identity Card Fee 50
100 X
7 Laboratory Fee 125 7 Laboratory Fee 125 7 Laboratory Fee 125
50 X
8 Library Fee 50 8 Library Fee 50 8 Library Fee 50
20 X
9 Magazine Fee 50 9 Magazine Fee 50 9 Magazine Fee 50
10 X
10 Students Aid Fund 10 10 Students Aid Fund 10 10 Students Aid Fund 10
Total
11 Library Card Fee 5 11 Library Card Fee 5 11 Library Card Fee 5
12 University Fee 330 12 University Fee 330 12 University Fee 330
12.Depositor
13 Laboratory Deposite 100 13 Laboratory Deposite 100 Contact No. 13 Laboratory Deposite 100
14 Co Curricular Fee 150 14 Co Curricular Fee 150 Transaction ID 14 Co Curricular Fee 150
15 ERP Charges 240 15 ERP Charges 240 (Mandatorily filled 15 ERP Charges 240
by Bank Officials)
9. Amount : Rs. 8775.00 ONLY 9. Amount : Rs. 8775.00 ONLY 9. Amount : Rs. 8775.00 ONLY
Cheque / Payorder Drawn On
10. Amount in : Rs. EIGHT THOUSAND SEVEN 10. Amount in : Rs. EIGHT THOUSAND SEVEN / DD No. Bank 10. Amount in : Rs. EIGHT THOUSAND SEVEN
words HUNDRED SEVENTY FIVE ONLY words HUNDRED SEVENTY FIVE ONLY Payable At words HUNDRED SEVENTY FIVE ONLY
Branch:

Signature/ Stamp of Bank Signature of Depositor Signature/ Stamp of Bank Signature of Depositor Signature/ Stamp of Bank Signature of Depositor
Signature/ Stamp Signature of Depositor
Checked By : --------------- Checked By : --------------- of Bank Checked By : ---------------
Checked By : ---------------
* Must be drawn payable at the center of deposit of the
instrument i.e.outstation instruments not acceptable