G H Raisoni University

Dhoda Borgaon, Village-Saikheda, Tah- Sausar, Dist.- Chhindwara

Voucher No. ……………………………..………. For……………………………………

REMUNERATION BILL FORM
Bill for Setting, Marking Answer-Books and conducting Practical /Viva-Voce/Oral/Sessional
Examination of G H Raisoni, University, Chhindwara for End. Sem./Vacation, Summer/Winter, 20
.
Name of Examiner ………………………………………………………………………………..
(In Block Letters)
Full Address ………………………………………………………………………………………
Mobile Number : ………………………………
Examinati THEORY PRACTICAL Other Charges
on and For Setting For valuation o Answer-Books For conducting
year Practical/Viva-
Voca/Oral/Sessional
Examination
Subject Paper & No. Amount Subject Paper Amount Subj No. Amount Details Amount
of Set s prepared Rs. P. & No. of Rs. P. ect of Rs. P. Rs. P.
answer Books & Can
Valued Cent dida
re te

Total :

Grand Total (In figure) ………………………………………………………………………………….

Rs. (in words) ……………………………………………………………………………………………
Please provide your bank details for online transfer of amount.
1] A/c No. :
2] Bank Name & Branch :
3] IFSC Code :
Received Payment
Signature of the Examiner
Dated …………. 20
For CONF.SECTION
Checked. The amount may be paid, Rs. In figures……………………………………………………..
In words Rs.
………………………………………………………………………………………………

Clerk, Conf, Section Registrar (Conf.) Controller of

Examination
FOR ACCOUNTS SECTION
Paid Rs.
…………………………………………………………………………………………………………………
By Cheque No. ……………………….. Dated …………… 20
Clerk, Accounts Section Amount Officer