Examination Fee Challan

Company Name(s): 

ORIGINAL
S.B.A/c.No.30629043551
STATE BANK OF INDIA
MAIN BRANCH MACHILIPATNAM
MACHILIPATNAM – 521001
SB A/c. Pay-in-Slip for the credit to KRISHNA UNIVERSITY EXAMINATION FEE Account
CASH
Scroll No. Scrolling Officers Signature
Amount Rs. Ps. Date : - - 201
1000 x Name :
500 x
100 x Roll No. :
50 x
20 x Course :
10 x
5 x Amount :
2 x (in words rupees)
1 x
Total
Nature of Fee : B Semester Exam Fe
e
Cashier/ Officers
Signature
Signature of payee
DUPLICATE
S.B.A/c.No.30629043551
STATE BANK OF INDIA
MAIN BRANCH MACHILIPATNAM
MACHILIPATNAM – 521001
SB A/c. Pay-in-Slip for the credit to
KRISHNA UNIVERSITY EXAMINATION FEE Account
CASH
Scroll No. Scrolling Officers Signature
Amount Rs. Ps. Date : - -201
1000 x Name :
500 x
100 x Roll No. :
50 x
20 x Course :
10 x
5 x Amount :
2 x (in words rupees)
1 x
Total
Nature of Fee : Semester Exam Fee
Cashier/ Officers
Signature
Signature of payee
TRIPLICATE
S.B.A/c.No.30629043551
STATE BANK OF INDIA
MAIN BRANCH MACHILIPATNAM
MACHILIPATNAM – 521001
SB A/c. Pay-in-Slip for the credit to
KRISHNA UNIVERSITY EXAMINATION FEE Account
CASH
Scroll No. Scrolling Officers Signature
Amount Rs. Ps. Date : - -201
1000 x
500 x
100 x
50 x
20 x
10 x
5 x
2 x
1 x
Total
Name :
Roll No. :
Course :
Amount :
(in words rupees)
Nature of Fee : Semester Exam Fee
Cashier/ Officers
Signature
Signature of payee