FEE CHALLAN SESSION (2023-24) ALLEN Career Institute Pvt. Ltd.

HDFC Bank (CMS Client Code: AC81LREIJN) GSTIN: 08AAVCA8216C1ZJ

(Branch Copy) Date: 31/08/2023

Name: VIKAS BHARGOW Form No.:1001146976

Father's Name: LATE GUMANSINGH BHARGOW Mobile No.: 6232583874 Payment Option: Lump Sum
Mother's Name: JHINUBAI BHARGOW Course Code: 363103
Course Name: PRE-MEDICAL LEADER TEST SERIES (LTS)
Denomination of Notes/Currency Fee Breakup* Amount in words: Rs.
X = *The following fee breakup Ten Thousand Five Hundred And Twenty Only
X = is for student only. Cheque No.:
X = Tuition Fee: 8898.00 Dated:
X = GST@(18%) 1602 Bank: HDFC Bank
X = Fees Total: 10500.00 I hereby declare,that I have read all the instruction of 'INFORMATION
X = Bank Charges: 20 BULLETIN / available at website dlp.allen.ac.in' and I do agree to follow the
same and as applicable time to time. I also to abide by the Refund Rules of
Total = Total Amount: 10520 the Institute.
All dispute are subject to Kota(Rajasthan) Jurisdiction only.

Student's Signature Signature of Father

Banker's Signature & Stamp TRANSACTION No.: _____________ Branch Code: _________ Date: _________________

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Registered & Corporate Office: SANKALP, CP-6, Indra Vihar, Kota (Raj.) – 324005
CIN: - U80100RJ2021PTC077131

FEE CHALLAN SESSION (2023-24) ALLEN Career Institute Pvt. Ltd.

HDFC Bank (CMS Client Code: AC81LREIJN) GSTIN: 08AAVCA8216C1ZJ
(Student Copy) Date: 31/08/2023

Name: VIKAS BHARGOW Form No.:1001146976

Father's Name: LATE GUMANSINGH BHARGOW Mobile No.: 6232583874 Payment Option: Lump Sum
Mother's Name: JHINUBAI BHARGOW Course Code: 363103
Course Name: PRE-MEDICAL LEADER TEST SERIES (LTS)
Denomination of Notes/Currency Fee Breakup* Amount in words: Rs.
X = *The following fee breakup Ten Thousand Five Hundred And Twenty Only
X = is for student only. Cheque No.:
X = Tuition Fee: 8898.00 Dated:
X = GST@(18%) 1602 Bank: HDFC Bank
X = Fees Total: 10500.00 I hereby declare,that I have read all the instruction of 'INFORMATION
X = Bank Charges: 20 BULLETIN / available at website dlp.allen.ac.in' and I do agree to follow the
same and as applicable time to time. I also to abide by the Refund Rules of
Total = Total Amount: 10520 the Institute.
All dispute are subject to Kota(Rajasthan) Jurisdiction only.

Student's Signature Signature of Father

Banker's Signature & Stamp TRANSACTION No.: _____________ Branch Code: _________ Date: _________________
Notes:
1. In case of any query / difficulty for depositing fee please contact - HDFC Bank, Kota (Raj.), Ph. No.: 77377-96042
2. Do take the TRANSACTION NO. & BRANCH CODE on the challan from the branch in which you are depositing the challan.
3. Duplicate Fee Receipt will be issued from office on cash payment of 100/-
4. GST Invoice Cum Receipt will be uploaded on student portal within 30 days.

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Registered & Corporate Office: SANKALP, CP-6, Indra Vihar, Kota (Raj.) – 324005
CIN: - U80100RJ2021PTC077131

31-08-2023 17:31:48