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Date : ...rgnggjjgfffyryuf....123...............3545v............ ..............

Receipt No: ..................................

Student Name : ...12344ehghd......................n v

bv...............................................................hhgngntn............................................

Father's Name : ........ranvcgdfdgd............saffsafff..................................................................

Room No : ....

343...................

Accommodation Date : From ...12565484....................454454....................... to

.............1234554wv.....................qwrrrerrwr.............ramcha..........

Sum of (Rs)₹ : ..............wwfcsfafcafcasfcafasfasf......................................................... Only

In Words : ........................................................................................................................................
.............................................................................................................................
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............................................................................................................................

Student's Signature Authorised signature


Date : .................................. .............. Receipt No: ..................................

Student Name : ....................................................................................................................................

Father's Name : ...................................................................................... Room No : .......................

Accommodation Date : From .............................................. to .........................................................

Sum of (Rs)₹ : ....................................................................... Only

In Words : ........................................................................................................................................

........................................................................................................................................

Student's Signature Authorised signature

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