Page No.

________
Sr. No. __________
GOVERNMENT POLYTECHNIC COLLEGE, BATALA
Hand Receipt Form

Cash Book Voucher No. _______________

Passed for Rs. ____________ (in words) ____________________________________________
Pay the amount by Account Payee cheque

Principal
Government Polytechnic College
Batala

Received a sum of Rs. ____________ (in words) _______________________________________

from the Principal of Government Polytechnic College, Batala on account of freeship by the
student of _________ semester of “Civil, Chemical, Electrical, Mechanical, E.C.E.” department
and for the period from ________ / 202___ to ________ / 202___ on the basis of __________
semester examination.

Name of student: _______________________

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Father Name: __________________________ Signature of student
Registration No.: _______________________
Class / Semester: _______________________
Mobile Number: _______________________

Certificate by Head of Department

Certified that Mr. / Miss. _______________________ Registration No. __________________

class _____________ is regular in his attendance and showing satisfactory progress in his studies.

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Class Incharge H.O.D. / Officer Incharge

Certified that payment of Rs. _______________ has been made vide ___________________

Officer incharge cash

Certified that the payment is entered in the cash book no __________ dated ______________

Cashier
Government Polytechnic College
Batala