Student/Applicant copy SunBeam copy Bank's Copy

SunBeam Infotech SunBeam Infotech C26 - SunBeam Infotech

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Institute PAN No. : AAHCS3426N Institute PAN No. : AAHCS3426N

Name of branch _________________________ Name of branch _________________________

: :
(to be treated by student as fee receipt) Institute PAN No. : AAHCS3426N (to be treated by student as fee receipt)
Name of branch _________________________
Account to be credited : 0 0 3 6 S L F E E C O L : Account to be credited : 0 0 3 6 S L F E E C O L
(to be treated by student as fee receipt)
1. Institution Code : F C S I I T 1. Institution Code : F C S I I T
Account to be credited : 0 0 3 6 S L F E E C O L
2. Student Name : R a k a B i s e n 2. Student Name : R a k a B i s e n
1. Institution Code : F C S I I T

3. Father's Name : A n g a d 3. Father's Name : A n g a d

2. Student Name : R a k a B i s e n

4. Roll No : 3 5 1 2 6 4. Roll No : 3 5 1 2 6
3. Father's Name : A n g a d

5. Course : 5. Course :
4. Roll No : 3 5 1 2 6
6. Class/Batch ID : C 2 6 - 6. Class/Batch ID : C 2 6 -
5. Course :
7. Detail of Fee 7. Detail of Fee
: :
6. Class/Batch ID : C 2 6 -
Fee Cash Denomination Amount Fees Rs. 8600/-
7. Detail of Fee :
2000 x
Fee Fees Received

500 x Total Rs. 8600/-

I-Card Issued 100 x

50 x

20 x

Total Rs. 8600/- 10 x

8. Amount in Words : Rs. Eight thounsand six hundred only. 5x

Total Rs. 8600/-

9. Transaction ID _________________________ Coins

:
8. Amount in Words : Rs. Eight thounsand six hundred only.
* Fees once paid is non refundable & not tranferable. Total
9. Transaction ID _________________________
* Fees includes GST Tax at 18% rate. :
8. Amount in Words : Rs. Eight thounsand six hundred only.
GST No.: 27AAHCS3426N1ZY * Fees once paid is non refundable & not tranferable.
* Fees includes GST Tax at 18% rate. 9. Transaction ID _________________________
:
GST No.: 27AAHCS3426N1ZY

Signature/ Stamp Signature of Depositor Signature/ Stamp

ICICI Bank Ltd Signature of Depositor
ICICI Bank Ltd
 Signature/ Stamp Signature of Depositor
ICICI Bank Ltd