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3/29/12 All India Institute of Medical Sciences

Cash Voucher Bank Copy Cash Voucher Candidate Copy

CASH CAN BE TENDERED AT ANY SBI BRANCH CASH CAN BE TENDERED AT ANY SBI BRANCH
MBBS 2012 - Application Fee Payment Challan MBBS 2012 - Application Fee Payment Challan

Use CBS Screen No.: 8888 Use CBS Screen No.: 8888
Fee Type: 26 Fee Type: 26
Reg. ID/Ref. No.: 1011078213 Reg. ID/Ref. No.: 1011078213
Date of Birth: 20081995 Date of Birth: 20081995

Challan can be deposited minimum one day after the generation of challan. Challan can be deposited minimum one day after the generation of challan.

Candidate Name: VETRI SELVI Candidate Name: VETRI SELVI


Mobile No.: 9443562823 Mobile No.: 9443562823
Email ID: balakrishnaraja@gmail.com Email ID: balakrishnaraja@gmail.com
Category: General Category: General
Rs.1040/- Rs.1040/-
Total Am ount: (Exam Fee: Rs.1000/- + Bank Total Am ount: (Exam Fee: Rs.1000/- + Bank
Charges Rs.40/-) Charges : Rs.40/-)
Total Amounts in w ords: One Thousand Forty Total Amounts in w ords: One Thousand Forty

Signature of Candidate Signature of Candidate

JOURNAL NUMBER JOURNAL NUMBER

For Receiving Branch use onl For Receiving Branch use onl
1. Please note to write the Journal Number in all the challans. 1. Please note to write the Journal Number in all the challans.

SEAL/DATE AUTHORISED SEAL/DATE AUTHORISED


SIGNATORY SIGNATORY

Disclaimer : AIIMS does not own any liability whatsoever for Disclaimer : AIIMS does not own any liability whatsoever for
fee deposits not-reported/ mis-reported/reported late by any fee deposits not-reported/ mis-reported/reported late by any
bank. Note : Kindly deposit your Fee Payment at bank after bank. Note : Kindly deposit your Fee Payment at bank after
24 hours of E-Slip generation. 24 hours of E-Slip generation.
"In case of any difficulty in depositing challan at SBI "In case of any difficulty in depositing challan at SBI
branches, please contact State Bank of India, Ansari Nagar, branches, please contact State Bank of India, Ansari Nagar,
New Delhi at the numbers 011-26589450, 09654007232." New Delhi at the numbers 011-26589450, 09654007232."

mbbs.aiimsonline.in/studentPa mentSlip.asp ?pa =SBI&mode=11&displa =Yes 1/1

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