FEE DEPOSIT SLIP FEE DEPOSIT SLIP

Bank Copy Student Copy

Date of Deposit Date of Deposit

Bank Branch Name: Bank Branch Name:
Account Name (Faculty) Account Name (Faculty):
Name (Facult y :
SBOP A/C No. SBOP A/C No.
(IFSC CODE - STBP0000838) (IFSC CODE - STBP0000838)

OBC A/C No.

(IFSC CODE - ORBC0101308) (IFSC CODE - ORBC0101308)
PNB A/C NO. PNB A/C NO.
(IFSC CODE - PUNB0494200) (IFSC CODE - PUNB0494200)

Student Name: Student Name:

Father Name   Father Name.  
Registration No
Name:gistration Registration No.
nNonoProgram
Program Year : Code
  Term: :
Program Year : Term:

Term Fee: Term Fee:

Hostel Fee: Hostel Fee:
Bus Fee : Bus Fee :
Other (If any) Other (If any)
TOTAL TOTAL
(In Words Rs.) : (In Words Rs.) :

If Payment Mode Draft If Payment Mode Draft

Draft No. Dated. Draft No. Dated.
Name of Bank: Name of Bank:
Payable at: Payable at:
Amount Amount
If Payment Mode Cash
If Payment Mode Cash
1000 
1000 
500 
500 
100 
100 
50 
50 
20 
20 
10 
10 
Other
Other
TOTAL
TOTAL

Depositor Signature: Depositor Signature:

Contact No. Contact No.

Signature of Receiver Signature of Receiver

with
(Further Enquiry Contact No.01824-508325 FAX 01824-500779 (Further Enquiry Contact No.01824-508325 FAX NO. 01824-500779
) & E.Mail accounts@lpu.co.in
(For PNB please use menu opt. pay fee only) (For PNB please use menu opt. pay fee only)