FEE CHALLAN SESSION (2018-19)

PAN : AAEFA3972B
HDFC Bank (CMS Client Code: ALNCREINST)
Date: 10/05/2018
(Branch Copy)

Name: Priyanshu Kumar Form No.:18230153

Father's Name: Dhiraj Jha Mobile No.: 7903368715 Payment Option: Lump Sum
Mother's Name: Kumkum Devi Center: Kota
Course Name: Jee (Main + Advanced) NURTURE PHASE-IV Course Code: 1004
Class Start Date: May 21,2018
Ist Refund Date : 04/06/2018 2nd Refund Date : 19/06/2018
Denomination of Notes/Currency Fee Breakup* Amount in words: Rs.
X = *The following fee breakup One Lakh Twenty Four Thousand And Fifty Only
X = is for student only. Cheque No.:
X = Tuition Fee: 105084 Dated:
X = GST@(18.00%) 18916 Bank: HDFC Bank
X = Fees Total: 124000 I hereby declare,that I have read all the instruction of 'INFORMATION
X = Bank Charges: 50 BULLETIN / available at website allen.ac.in' and I do agree to follow the
same and as applicable time to time. I also to abide by the Refund Rules
Total = Total Amount: 124050 of the Institute.
All dispute are subject to Kota(Rajasthan) Jurisdiction only.

Students's Signature Signature of Father

Banker's Signature & Stamp Transaction No.: _____________ Branch Code: _________ Date: _________________

FEE CHALLAN SESSION (2018-19)

PAN : AAEFA3972B
HDFC Bank (CMS Client Code: ALNCREINST)
Date: 10/05/2018
(Student Copy)

Name: Priyanshu Kumar Form No.:18230153

Father's Name: Dhiraj Jha Mobile No.: 7903368715 Payment Option: Lump Sum
Mother's Name: Kumkum Devi Center: Kota
Course Name: Jee (Main + Advanced) NURTURE PHASE-IV Course Code: 1004
Class Start Date: May 21,2018
Ist Refund Date : 04/06/2018 2nd Refund Date : 19/06/2018
Denomination of Notes/Currency Fee Breakup* Amount in words: Rs.
X = *The following fee breakup One Lakh Twenty Four Thousand And Fifty Only
X = is for student only. Cheque No.:
X = Tuition Fee: 105084 Dated:
X = GST@(18.00%) 18916 Bank: HDFC Bank
X = Fees Total: 124000 I hereby declare,that I have read all the instruction of 'INFORMATION
X = Bank Charges: 50 BULLETIN / available at website allen.ac.in' and I do agree to follow the
same and as applicable time to time. I also to abide by the Refund Rules
Total = Total Amount: 124050 of the Institute.
All dispute are subject to Kota(Rajasthan) Jurisdiction only.

Students's Signature Signature of Father

Banker's Signature & Stamp Transaction No.: _____________ Branch Code: _________ Date: _________________
Notes:
1. In case of any query / difficulty for depositing fee please contact - HDFC Bank, Kota (Raj.), Ph. No.: 0744-2424088
2. Do take the TRANSACTION NO. & BRANCH CODE on the challan from the branch in w hich you are depositing the challan.
3. Duplicate Fee Receipt w ill be issued from office on cash payment of 100/-
4. GST Invoice Cum Receipt w ill be uploaded on student portal w ithin 30 days.

5/10/2018 2:28:34 PM