Student copy Student copy Student Copy Bank Copy x1000=

x 500=
(To be submitted to concerned (To be submitted to concerned (To be Kept by Student) ENTER THROUGH "TM" Mode & MENTION
x 100=
Department by student) Department by student) ENTER THROUGH "TM" Mode & MENTION APPLICANT/STUDENT NAME IN SYSTEM x 50=
ENTER THROUGH"TM" Mode & MENTION ENTER THROUGH"TM" Mode & MENTION APPLICANT/STUDENT NAME IN SYSTEM x 10=
APPLICANT/STUDENT NAME IN SYSTEM APPLICANT/STUDENT NAME IN SYSTEM

PUNJAB NATIONAL BANK, PUNJAB NATIONAL BANK, PUNJAB NATIONAL BANK, PUNJAB NATIONAL BANK,
Account No.4674000100036542 Account No.4674000100036542 Account No.4674000100036542 Account No.4674000100036542
GURU JAMBHESHWAR UNIVERSITY OF SCIENCE GURU JAMBHESHWAR UNIVERSITY OF SCIENCE GURU JAMBHESHWAR UNIVERSITY OF SCIENCE GURU JAMBHESHWAR UNIVERSITY OF SCIENCE
& TECHNOLOGY, HISAR & TECHNOLOGY, HISAR & TECHNOLOGY, HISAR & TECHNOLOGY, HISAR
Received from Sh./Ms______________________ Received from Sh./Ms______________________ Received from Sh./Ms______________________ Received from Sh./Ms______________________
Roll No.___________ a student of____________ Roll No.___________ a student of____________ Roll No.___________ a student of____________ Roll No.___________ a student of____________
for the period from___________ to___________ for the period from___________ to___________ for the period from___________ to___________ for the period from___________ to___________
DD/Cheque No.___________ Drawn on________ DD/Cheque No.___________ Drawn on________ DD/Cheque No.___________ Drawn on________
S. S. S. S.
Following Misc.Heads (University Main Account) Following Misc.Heads (University Main Account) Following Misc.Heads (University Main Account) Following Misc.Heads (University Main Account)
No No No No
1 Examination Fees 1 Examination Fees 1 Examination Fees 1 Examination Fees
Re-appear/Mercy Chance/re-evaluation/ duplicate Mark Re-appear/Mercy Chance/re-evaluation/ duplicate Mark Re-appear/Mercy Chance/re-evaluation/ duplicate Mark Re-appear/Mercy Chance/re-evaluation/ duplicate
sheet/Duplicate Degree/ Transcript/ Confidential sheet/Duplicate Degree/ Transcript/ Confidential sheet/Duplicate Degree/ Transcript/ Confidential Mark sheet/Duplicate Degree/ Transcript/
Result/PDC/Name Correction/ Speical Viva/Project Result/PDC/Name Correction/ Speical Viva/Project Result/PDC/Name Correction/Speical Viva/Project Confidential Result/PDC/Name Correction/Speical
Report late fees Report late fees Report late fees Viva/Project Report late fees
Migration/Registration/Hostel/RTI/Ph.D/ Migration/Registration/Hostel/RTI/Ph.D/ Migration/Registration/Hostel/RTI/Ph.D/ Migration/Registration/Hostel/RTI/Ph.D/
Colleges/Scholarship Fees Colleges/scholarship Fees Colleges/Scholarship Fees Colleges/Scholarship Fees
2 2 2 2
3 Fee/Balance Fee/Re-Admission/fine fee etc. 3 Fee/Balance Fee/Re-Admission/fine fee etc. 3 Fee/Balance Fee/Re-Admission/fine fee etc. 3 Fee/Balance Fee/Re-Admission/fine fee etc.
4 Unspent Balance/Interest 4 Unspent Balance/Interest 4 Unspent Balance/Interest 4 Unspent Balance/Interest
5 Shop Rent/House Rent/Auditorium Charges 5 Shop Rent/House Rent/Auditorium Charges 5 Shop Rent/House Rent/Auditorium Charges 5 Shop Rent/House Rent/Auditorium Charges
6 Electercity Bill/Water Charges 6 Electercity Bill/Water Charges 6 Electercity Bill/Water Charges 6 Electercity Bill/Water Charges
Room Rent/Guest House/Faculty House Room Rent/Guest House/Faculty House Room Rent/Guest House/Faculty House Room Rent/Guest House/Faculty House
7 Charges/Service 7 Charges/Service 7 Charges/Service 7 Charges/Service
Charges
Recovery of Laon & Advances/Leave Salary/GIS Charges
Recovery of Laon & Advances/Leave Salary/GIS Charges
Recovery of Laon & Advances/Leave Salary/GIS Charges
Recovery of Laon & Advances/Leave Salary/GIS
8 8 8 8
9 Book Fine/RT Lost Charges 9 Book Fine/RT Lost Charges 9 Book Fine/RT Lost Charges 9 Book Fine/RT Lost Charges
10 Security/Caution Money/Earnest Money/NPS 10 Security/Caution Money/Earnest Money/NPS 10 Security/Caution Money/Earnest Money/NPS 10 Security/Caution Money/Earnest Money/NPS
11 Overhead Charges 11 Overhead Charges 11 Overhead Charges 11 Overhead Charges
12 Communication Skill Fees/Coaching Fee of HSC/IAS 12 Communication Skill Fees/Coaching Fee of HSC/IAS 12 Communication Skill Fees/Coaching Fee of HSC/IAS 12 Communication Skill Fees/Coaching Fee of HSC/IAS
13 Thesis submission late fee 13 Thesis submission late fee 13 Thesis submission late fee 13 Thesis submission late fee
14 Deposit & Remittance 14 Deposit & Remittance 14 Deposit & Remittance 14 Deposit & Remittance
15 Miscelleneaous 15 Miscelleneaous 15 Miscelleneaous 15 Miscelleneaous
i) Sale of Raddi i) Sale of Raddi i) Sale of Raddi i) Sale of Raddi
ii) Fee recovered out of Scholarship ii) Fee recovered out of Scholarship ii) Fee recovered out of Scholarship ii) Fee recovered out of Scholarship
iii) Physical Counseling Fee iii) Physical Counseling Fee iii) Physical Counseling Fee iii) Physical Counseling Fee
16 Any Other 16 Any Other 16 Any Other 16 Any Other
Bank Scroll No.___________ dated___________ Bank Scroll No.___________ dated___________ Bank Scroll No.___________ dated___________ Bank Scroll No.___________ dated___________

Signature of Applicant Signature of Applicant Signature of Applicant Signature of Applicant