Form No. Ex-6
KRISHNA KANTA HANDIQUI STATE OPEN UNIVERSITY
Statement for payment of Examination Fees for ……… (Yr/Semester)
Examination, 20……

Name of the Study Centre:
Address:___________________________________Dist:_______________________
P.O._______________
Pin:_______________
Centre of Examination:__________________________________________________
Name of
Examination
No. of
Candidate
Exam Fee Mark sheet
Fee
Centre Fee Practical
Exam Fee
Total
This statement must be submitted alongwith Form No. Ex.4…
Payment made vide Bank draft No………………………….Dated………………………..
For an amount of Rs.______________________(in words Rupees__________________
____________________)
Dated:……………. Coordinator
Countersigned by ……………………….study Centre
The Principal