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STUDENTS

FORM FOR PGPM


RTGS/NEFT REMITANCE ADVISE

To,
Students Service Department
Campus:

Dear Sir,
31... . . . .Batch, have
to my Enrolment No.
With reference
AnstallmentFee through RTGS/NEFT/IMPS/IFT.
The details of Payment
are

paid..!.
given below
out whichever is not
Details for Payment of Fee through
RIGS/NEFT/IMPSIFT (Strike

applicable)
Student record
Student Details and Remittance Details to update the

A Student Details 2 Bse 331o


1. Enrolment No
2. Name of the Student KAMVL
2 2 -22
3. Program/Batch 15817154
4. Mobile No:
Kakddd8 @ amad-oa
5. e-mail.id
Transaction Ref. No.)
B. Remittance Details (Attach Scanned copy of BankChallan with UTR/
Whose
1. Name of the Account Holder (From KAH VL
account amount has been transferred)
2. Name of the Bank HDeCBAN
3. Branch SoNNA
4. Branch IFSC Code
O G07200 4 4 I |
5.UTR No./ Transaction Ref. No. 5-07-2o2
6. Data of Remittance
7.Amount of Remittance
74oo o |
8. Amount in Words Seven fovr fhowand ny
remitter.
Note: 1. AlI Field are Mandatory to be filled by the Student/
mailed/ handed over to
2. Scanned copy of this completed form should be compulsorily
therespective campus.
3. Please insist for correct UTR/Transaction Ref. No. from your Bank.

4. Please send a copy of remitting Challan for RTGS/NEFT/IMPS/IFT for easy


reconciliation.
Place :Signature of the Student/remitter
Date

PLALE GURGAN
o5- o7-2o2a
DATE
RTGS/NEFT REMITANCE ADVISE FORM FOR PGPM STUDENTS

To
Stternts Sevce Department
Campus
Deer S

weh reference to my EnrolmentNo. 3311.2 222 Batch have


ad eInstalmentFee through RTGSNEFT/IMPS/IFT The details of Payment are
gven below

Details for Payment of Fee through RTGS/NEFT/nMPS/IFT (Strike out whichever is not
applicable)

Student Details and Remittance Details to update the Student record

A Student Details
Enrolment No 20 BSP331
Name of the Student KAHVL
3Program Batch 2 22
4 Mobile No 158877564
mail d
B. Remittance Details (Attach Scanned copy of BankChallan with UTR/Transaction Ref. No.)

Name of the Account Holder (From Whose


account amount has been transferred) KAKUL
Name of the Bank YCS BANK
3Branch ScCTOK-1 GUR GAON HAAYANA
4 Branch IFSC Code YCSeOo0ol5
5 UTR No.Transaction Ref. No. O8042 Oo93243
6 Data of Remittance
7
o8-o-2 2
Amount of Remittance S00oo
S Amount in Words
Yighy kawsand nly
te 1.All Field are Mandatory to be filled bythe Student/ remitter.

2 Scanned copy of this completed form should be compulsorily mailed / handed over to
therespectivecampus
3 Please insist for correct UTR/Transaction Ref. No. from your Bank.

4 Please send a copy of remitting Challan for RTGS/NEFT/IMPS/IFT for easy


reconciliation

Place:Signature of the Student/remitter


Date:

AC GURGAoN oh
2 2

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