STATE BANK OF INDIA ORIGINAL STATE BANK OF INDIA DUPLICATE

APPLICATiON FEE DETAILS APPLICATION FEE DETAILS

CENTRE FOR DISTANCE EDUCATION CENTRE FOR DISTANCE EDUCATION
ACHARYA NAGARJUNA UNIVERSITY ACHARYANAGARJUNA UNIVERsITY
Applicant's Name : Mr./Mrs/Kum Applicant's Name Mr/Mrs/Kum
Name of the Course Name of the Course
Reference No/Enrolment No/New Reference No/Enrolment No/New
ANU, CDE fee Collection A/c.No. 30036214420 at SBi, ANU Campus ANU, CDE fee Collection A/c.No.: 30036214420 at SBI, ANU Campus
Branch (CodeNo.4793) Branch (CodeNo.4793)
SBI Branch Name SBI Branch Name
(Where amount is paid (Where amount is paid
Branch Code Branch Code
(to be filled by Bank) (to be filled by Bank)
Journal No. Journal No.
(tobe filled by Bank: Write leigbly) (tobe filled by Bank: Write leigbly)
Deposit Date Deposit Date
Purpose of Payment :Towards Purpose of Payment :Towards
a) Cost of Application form a) Cost of Application form
b) I Year Fee b) IYearFee
c) I Year Fee c) II Year Fee
d) II Year Fee d) II Year Fee
e) IV Year Fee e) V Year Fee
) Examination Fee Suplementary/Betterment Fee Examination Fee Suplementary/Betterment Fee
9) Others g) Others
Amount: Rupees in Figures Amount Rupees in Figures
Rupees in words Rupees in words
Payee's Signature Authorised Signatory of Bank Payee's Signature Authorised Signatory of Bank
Note Separate individual Form must be used for each single payment. Note Separate individual Form must be used for each single payment.
Group payments through one form should not be made. Group payments through one form should not be made.
# Fee receiving branch is advised to write the Deposit Journal No., Branch
#Fee receiving
Code No.
branch is advised to write the Deposit Journal No., Branch
and Amount in words above Code No. and Amount in words above invariably.
invariably