State Bank of Travancore State Bank of Travancore State Bank of Travancore

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151348494

151348494

STATE BANK OF TRAVANCORE


(ORIGINAL - Remitter's Copy)
Chalan No / Ref No : 151348494

Date: 07-05-2015

151348494

STATE BANK OF TRAVANCORE

STATE BANK OF TRAVANCORE

(DUPLICATE - To The Calicut University Office)

(TRIPLICATE - To be retained by the Bank)

Chalan No / Ref No : 151348494

Chalan No / Ref No : 151348494

Date: 07-05-2015

Fee Type : 58

Fee Type : 58

Fee Type : 58

Name

Name

Name

: KAILAS RAJ R

: KAILAS RAJ R

: KAILAS RAJ R

Date of Birth : 06/02/1997

Date of Birth : 06/02/1997

Date of Birth : 06/02/1997

SBT Screen No : 8888

SBT Screen No : 8888

SBT Screen No : 8888

Purpose of Remittance

Amount

CENTRALIZED ADMISSION PROCESS


DEGREE 2015 - APPLICATION FEE

Purpose of Remittance

Amount

CENTRALIZED ADMISSION PROCESS


DEGREE 2015 - APPLICATION FEE
250.00

Service charge for SBT as applicable

Signature of Cashier

Service charge for SBT as applicable

250.00

Service charge for SBT as applicable

Total Amount

Signature of Remitter
Signature of Manager

Amount

CENTRALIZED ADMISSION PROCESS


DEGREE 2015 - APPLICATION FEE

Total Amount

(Please remit this chalan on or before 12-05-2015)


(Seal)

Purpose of Remittance

250.00

Total Amount

Signature of Remitter

Date: 07-05-2015

Signature of Cashier

Signature of Remitter
Signature of Manager

(Please remit this chalan on or before 12-05-2015)


(Seal)

Signature of Cashier

Signature of Manager

(Please remit this chalan on or before 12-05-2015)


(Seal)

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