You are on page 1of 1

http://icarexam.net/ICAR_Exam/PrintOutForm.

php

Entrance Exam (AIEEA-UG-2013) Fee Deposit Challan (Bank's Copy)

Entrance Exam (AIEEA-UG-2013) Fee Deposit Challan (Candidate's Copy)

Entrance Exam (AIEEA-UG-2013) Fee Deposit Challan (ICAR's Copy)

ICAR, Education Division, KAB-II, Pusa, ICAR, Education Division, KAB-II, Pusa, ICAR, Education Division, KAB-II, Pusa, New Delhi New Delhi New Delhi Academic Year 2013-14 Academic Year 2013-14 Academic Year 2013-14 Syndicate Bank, Payable at all Branches Syndicate Bank, Payable at all Branches Syndicate Bank, Payable at all Branches of Syndicate Bank in India (During of Syndicate Bank in India (During of Syndicate Bank in India (During 26.12.2012 to 15.02.2013 and for remote 26.12.2012 to 15.02.2013 and for remote 26.12.2012 to 15.02.2013 and for remote areas up to 22.02.2013) areas up to 22.02.2013) areas up to 22.02.2013) Beneficiary Name
ICAR Unit-Education Division, ICAR New Delhi.

Beneficiary Name

ICAR Unit-Education Division, ICAR New Delhi.

Beneficiary Name

ICAR Unit-Education Division, ICAR New Delhi.

Beneficiary`s Bank Account 24133050000020 No.: Beneficiary`s KAB, Pusa, MICR-110025166 Branch: Exam Fee Paid: Under-graduate (UG) Programme: SC Category 250 Bank Commission: 25 Total Fee Paid: 275 Name of the Branch : Branch Code No : Transaction ID No.: (to be filled by the Branch carefully) Particulars of Candidate ONLINE Application 145119 Form No.:
Name: Father`s Name: Address: KAJOL ANURAGI MOHAN LAL ANURAGI C-124, NEW SAKET NAGAR, TANSEN ROAD, GWALIOR, Madhya Pradesh

Beneficiary`s Bank Account 24133050000020 No.: Beneficiary`s KAB, Pusa, MICR-110025166 Branch: Exam Fee Paid: Under-graduate (UG) Programme: SC Category 250 Bank Commission: 25 Total Fee Paid: 275 Name of the Branch : Branch Code No : Transaction ID No.: (to be filled by the Branch carefully) Particulars of Candidate ONLINE Application 145119 Form No.:
Name: Father`s Name: Address: KAJOL ANURAGI MOHAN LAL ANURAGI C-124, NEW SAKET NAGAR, TANSEN ROAD, GWALIOR, Madhya Pradesh

Beneficiary`s Bank Account 24133050000020 No.: Beneficiary`s KAB, Pusa, MICR-110025166 Branch: Exam Fee Paid: Under-graduate (UG) Programme: SC Category 250 Bank Commission: 25 Total Fee Paid: 275 Name of the Branch : Branch Code No : Transaction ID No.: (to be filled by the Branch carefully) Particulars of Candidate ONLINE Application 145119 Form No.:
Name: Father`s Name: Address: KAJOL ANURAGI MOHAN LAL ANURAGI C-124, NEW SAKET NAGAR, TANSEN ROAD, GWALIOR, Madhya Pradesh

Phone/ 9329815640 Mobile No.: Depositor`s Signature Cashier Signature: (With Bank Stamp)
Care : On-line Application Form No. and Candidate's Name MUST be filled in correctly in the system by the branch official "Registration-ID/Ref-No."

Phone/ 9329815640 Mobile No.: Depositor`s Signature Cashier Signature: (With Bank Stamp)
Important: Candidate must ensure that the Transaction-ID is filled in properly by the Bank

Phone/ 9329815640 Mobile No.: Depositor`s Signature Cashier Signature: (With Bank Stamp)
Important: Candidate must ensure that the Transaction-ID is filled in properly by the Bank

1 of 1

1/27/2013 9:58 PM

You might also like