Students/ Remitters Copy

Universitys Copy (To be attached along with the relevant document)

Banks Copy

Separate Chalan shall be used for more than one purpose of remittance

Separate Chalan shall be used for more than one purpose of remittance

Separate Chalan shall be used for more than one purpose of remittance

MAHATMA GANDHI UNIVERSITY

MAHATMA GANDHI UNIVERSITY

MAHATMA GANDHI UNIVERSITY

In Pursuit Pursuit of Excellence

Pay in- Slip
Paid to the credit of Mahatma Gandhi University A/c No. 67114059391 at SBT MG University Campus Branch, Kottayam Name of Course:

In Pursuit Pursuit of Excellence

Pay in- Slip
Paid to the credit of Mahatma Gandhi University A/c No. 67114059391 at SBT MG University Campus Branch, Kottayam Name of Course:

In Pursuit Pursuit of Excellence

Pay in- Slip
Paid to the credit of Mahatma Gandhi University A/c No. 67114059391 at SBT MG University Campus Branch, Kottayam Name of Course:

Pay in- Slip

A B C D E Affiliation Fee Viz. Course affiliation /College affiliation / Students affiliation Annual Administration Fee Registration Fee Examination/Entrance Examination/Matriculation Application Form Fee Certificates Fee Degree/Provisional/Duplicate/Migration/Other Certificates Fee to University Teaching Departments/Hostels/Library Reimbursement from various Departments Other items of Fee (Specify) Bank Charges

`
A B C D E

Pay in- Slip

Affiliation Fee Viz. Course affiliation /College affiliation / Students affiliation Annual Administration Fee Registration Fee Examination/Entrance Examination/Matriculation Application Form Fee Certificates Fee Degree/Provisional/Duplicate/Migration/Other Certificates Fee to University Teaching Departments/Hostels/Library Reimbursement from various Departments Other items of Fee (Specify) Bank Charges

`
A B C D E

Pay in- Slip

Affiliation Fee Viz. Course affiliation /College affiliation / Students affiliation Annual Administration Fee Registration Fee Examination/Entrance Examination/Matriculation Application Form Fee Certificates Fee Degree/Provisional/Duplicate/Migration/Other Certificates Fee to University Teaching Departments/Hostels/Library Reimbursement from various Departments Other items of Fee (Specify) .. .. Bank Charges

F G H

F G H

F G H

20

20

20

Total Rupees(in words)...........................

Particulars of the Candidate for whom the remittance is made

Total Rupees(in words)..........................

Particulars of the Candidate for whom the remittance is made

Rupees(in words)..........................
Particulars of the Candidate for whom the remittance is made

Name:. Address:. Phone/Mobile No:. Remitters Signature:.. Bank Txn Journal No:
SBT Branches be guided by C & I Circular No.28/2009 dated 08/12/2009

Name: Address: .. Phone/Mobile No: Remitters Signature:. Bank Txn Journal No:
SBT Branches be guided by C & I Circular No.28/2009 dated 08/12/2009

Name: Address: .. Phone/Mobile No: Remitters Signature:. Bank Txn Journal No:
SBT Branches be guided by C & I Circular No.28/2009 dated 08/12/2009