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PGDM Payment Advice Form


XIMB ID: XIMB Form No: XAT/CAT No.: Name: Mailing address: XIMB25650 104732 SR7653202 Randhir Kumar Shah House No-20, Galli No-6 East Laxmi Market Guruangad Nagar New Delhi - 110092 Delhi You should send this Payment Advice Form immediately to XIMB along with the respective application fee payment instrument. The application fee (non-refundable) is Rs.1000/- for one programme, and Rs.500/- each for every additional programme/form. The application fee may be paid in one of the following methods:

a) Pay Rs. 1000/- in cash at select IMS/T.I.M.E./Career Launcher coaching centres, and collect the Money Receipt and XIMB Bulletin (during September 12 to November 25 only), towards the first application form/programme only. The application fee for additional programmes, if applicable, should be paid through other methods (b or c). Refer to FAQ section for the list of respective IMS centres.(Bulletin will not be available at Career Launcher centres, but will be sent from XIMB by courier). OR b) Use Core Banking Services and deposit the relevant application fee in cash, from any branch of State Bank of India, into the Current A/c No. 30834687536 (IFS Code: SBIN0004414) of XIM, Bhubaneswar (Bank service charges will be extra. Use the normal pay-in-slip available in the bank). Fee can also be paid through Net banking, and the printout of the confirmation note can be used for the purpose; OR c) Get a demand draft for the relevant application fee, favouring "Xavier Institute of Management ", and payable at the Bhubaneswar main branch of the respective bank.

Send the Payment Advice Form along with the IMS/T.I.M.E./Career Launcher money receipt or the original bank pay-inslip counterfoil or DD, by Registered Post, or Speed Post or Courier, addressed to:

The Admissions Office, Xavier Institute of Management, Xavier Square, Bhubaneswar- 751 013. (Local applicants may submit the payment advice form and original bank pay-in-slip counterfoil at the Admissions Office counter and collect the Bulletin-2012, in person.)

Your application for admission will be accepted only on receipt of application fee by XIMB. A registration confirmation note has already been generated and sent to your email id. On receipt of your application fee payment instrument and Payment Advice Form, a message confirming the acceptance of your application will be sent to you by email. Subsequently, the information Bulletin-2012 will be sent to your current address, by post (except to those who have paid at IMS/T.I.M.E. centres). The last date for receiving the application fee along with payment advice form at XIMB is November 30, 2011.

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