Challan For MultiUtilty 1

Customer / Branch / Institution Copy

DOTE FEE COLLECTION
Pay-In-Slip (To be filled in Triplicate)

Reference No : MU0055131313 Journal No.: Date:

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NAME : Selvam REGISTRATION NO : 47480
DETAILS OF FEES : 320

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CERT CORRECTION : Rs. 0.00 DUPLICATE CERT FEES : Rs. 0.00

FEES
MIGRATION CERT FEES : Rs. 0.00 TRANSCRIPTION FEES : Rs. 0.00
GENUINESS VERIFIC : Rs. 300.00 OTHER / MISC. FEES : Rs. 0.00
FEES
Total Amount : Rs. 300.00 Bank Charge : Rs. 20.00
Total Payable Amount : Rs. 320.00 Amount in Words :Rupees Three Hundred and
Twenty Only

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Branch Code : ................. Branch Name :..................

SIGNATURE OF BANK CASHIER SIGNATURE OF BANK MANAGER SIGNATURE OF THE CANDIDATE

WITH STAMP

Address :

Contact No.:

* Kindly make note of the above 'UTILITY REF NUMBER' (OR) take 3 copies of printouts of the above generated PAYMENT CHALLAN for the purpose of making PAYMENT.

* The payment can be made ONLINE THROUGH INDIAN BANK NETBANKING (or) at any branches of INDIAN BANK by duly submitting the copy of the above PAYMENT CHALLAN.

* The payment with the above 'UTILITY REF NUMBER' is valid for 10 days only. If not remitted within 10 days, fresh registration is required.