XLRI's Copy   XAT Pay‐in‐slip 2011  

Axis Bank   Date of Registration : 10/7/2010 7:39:08 PM  

  Branch code & name: Gwalior‐158 
XAT Pay‐in‐slip No : 158XAT403808 XAT ID : XAT403808

Please credit to : XAT Sale of Bulletin A/c   

    (Current A/c No 340010200008310)      

Full Name of applicant   Robin Bains  

Q.No. 824 , Sector ‐ 5 , R.K.Puram   
Address of applicant   Please affix your latest photograph
New Delhi , Delhi ‐ 110022  
Phone/Mobile Number   9752244573  

Denominations of notes
1000 X
Depositer's signature..............
Received Rs.900 on.........2010
 
500 X Issued XAT Bulletin 2011 No............  
Bank Seal
100 X
Cashier's Signature and stamp..........   
50 X  
Send this copy along with the detachable form given in XAT Bulletin 2011 to Admissions Office, XLRI  
Candidate's Copy    
XAT Pay‐in‐slip 2011

Axis Bank   Date of Registration : 10/7/2010 7:39:08 PM 

  Branch code & name: Gwalior‐158 
XAT Pay‐in‐slip No : 158XAT403808 XAT ID : XAT403808

Please credit to : XAT Sale of Bulletin A/c   

    (Current A/c No 340010200008310)       

Full Name of applicant   Robin Bains 

Q.No. 824 , Sector ‐ 5 , R.K.Puram   
Address of applicant 
New Delhi , Delhi ‐ 110022 
Phone/Mobile Number   9752244573  
Denominations of notes
1000 X
Bank Seal    Depositer's signature..............
Received Rs.900 on.........2010
500 X   Issued XAT Bulletin 2011 No............
100 X
Cashier's Signature and stamp..........  
50 X  
Bank's Copy   XAT Pay‐in‐slip 2011  
Axis Bank   Date of Registration : 10/7/2010 7:39:08 PM  
  Branch code & name: Gwalior‐158 
XAT Pay‐in‐slip No : 158XAT403808 XAT ID : XAT403808

Please credit to : XAT Sale of Bulletin A/c   

    (Current A/c No 340010200008310)      

Full Name of applicant   Robin Bains 

Q.No. 824 , Sector ‐ 5 , R.K.Puram   
Address of applicant 
New Delhi , Delhi ‐ 110022 
Phone/Mobile Number   9752244573  
Denominations of notes
1000 X
Bank Seal    Depositer's signature..............
Received Rs.900 on.........2010
500 X   Issued XAT Bulletin 2011 No............
100 X
Cashier's Signature and stamp..........  
50 X