Challan Form 1222

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Abu Umara Medical & Dental College

Bank Al Habib Ltd.


Madina Foundation
0199-0981-05260-01-0

Challan#:
Date: 21/09/2022 20221222

Applicant ID:: 1222

Reg#: MBBS-2022-2023-1432

Name: javeria saleem

CNIC#: 3520264166722
Degree: Session:
MBBS 2022-2023

Cash/Chq/DD:

# Head of A/C Ammount


1 Application Fee 1000/-

Grand Total 1000/-

Depositor Name:
Contact Number:
NIC Number:
Note: Fee against this challan can be deposited uptil 07 Jan,
2022
Amount In Words:
One Thousand Only

Depositer's Signature Office Stamp / Signature


Abu Umara Medical & Dental College Abu Umara Medical & Dental College Abu Umara Medical & Dental College

Bank Al Habib Ltd. Bank Al Habib Ltd. Bank Al Habib Ltd.


Madina Foundation Madina Foundation Madina Foundation
0199-0981-05260-01-0 0199-0981-05260-01-0 0199-0981-05260-01-0

Challan#: Challan#: Challan#:


Date: 21/09/2022 20221222 Date: 21/09/2022 20221222 Date: 21/09/2022 20221222

Applicant ID:: 1222 Applicant ID:: 1222 Applicant ID:: 1222

Reg#: MBBS-2022-2023-1432 Reg#: MBBS-2022-2023-1432 Reg#: MBBS-2022-2023-1432

Name: javeria saleem Name: javeria saleem Name: javeria saleem

CNIC#: 3520264166722 CNIC#: 3520264166722 CNIC#: 3520264166722


Degree: Session: Degree: Session: Degree: Session:
MBBS 2022-2023 MBBS 2022-2023 MBBS 2022-2023

Cash/Chq/DD: Cash/Chq/DD: Cash/Chq/DD:

# Head of A/C Ammount # Head of A/C Ammount # Head of A/C Ammount


Office Copy 1 Application Fee 1000/- 1 Application Fee 1000/- 1 Application Fee 1000/-

Grand Total 1000/- Grand Total 1000/- Grand Total 1000/-

Depositor Name: Depositor Name: Depositor Name:


Contact Number: Contact Number: Contact Number:
NIC Number: NIC Number: NIC Number:
Note: Fee against this challan can be deposited uptil 07 Jan, Note: Fee against this challan can be deposited uptil 07 Jan, Note: Fee against this challan can be deposited uptil 07 Jan,
2022 2022 2022
Amount In Words: Amount In Words: Amount In Words:
One Thousand Only One Thousand Only One Thousand Only

Depositer's Signature Office Stamp / Signature Depositer's Signature Office Stamp / Signature Depositer's Signature Office Stamp / Signature
Finance Copy Bank Copy Student Copy

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