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Annexure I

Format for Bank Mandate


Name of the School: Bajkul Janakalyan Sikshaniketan
Name of the Student:

Mobile Number:

Roll No.:

Name as it appears in Bank Account*:

If the bank account is not in the name of the student, the relationship of the bank account holder
guardian with the student:

Name of the Bank:

Bank Account No.:

Branch:

IFS Code:

Signature of the Guardian Signature of the Student

*In case the student has not attained 18 years of age, the bank account in the name of the
guardian may be accepted.

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