Application Fee Challan--------------------------Bank Copy Application Fee Challan--------------------------Reference Copy Application Fee Challan--------------------------Student Copy

This Challan is valid till 15-06-2017 This Challan is valid till 15-06-2017 This Challan is valid till 15-06-2017

CLUSTER UNIVERSITY OF JAMMU CLUSTER UNIVERSITY OF JAMMU CLUSTER UNIVERSITY OF JAMMU

A/C No: 0345040500000164 A/C No: 0345040500000164 A/C No: 0345040500000164

Admission Code: 2131F6B72BD7 Admission Code: 2131F6B72BD7 Admission Code: 2131F6B72BD7

Name: VIJAHAT ALI HAYDERI Name: VIJAHAT ALI HAYDERI Name: VIJAHAT ALI HAYDERI
Father's Name: GHULAM HAIDER Father's Name: GHULAM HAIDER Father's Name: GHULAM HAIDER
Contact No. : 9419893155 Contact No. : 9419893155 Contact No. : 9419893155
Fee: INR 100 Fee: INR 100 Fee: INR 100
Bank Charges: INR 10 Bank Charges: INR 10 Bank Charges: INR 10
Total Amount: INR 110 Total Amount: INR 110 Total Amount: INR 110

(INROne Hundred and Ten Only) (INROne Hundred and Ten Only) (INR One Hundred and Ten Only)

Signature of Depositor Signature of Depositor Signature of Depositor

Details Below To Be Filled In By The Bank Details Below To Be Filled In By The Bank Details Below To Be Filled In By The Bank

Branch Code : ........................ Dated: ......................... Branch Code : ........................ Dated: ......................... Branch Code : ........................ Dated: .........................

Transaction No.: ............................................................. Transaction No.: ............................................................. Transaction No.: .............................................................

(To Be Written In Legible Handwriting) (To Be Written In Legible Handwriting) (To Be Written In Legible Handwriting)

Collection Id: 170609113408 Collection Id: 170609113408 Collection Id: 170609113408

Signature of Bank's Signature of Bank's Signature of Bank's

Ofcial with Seal Ofcial with Seal Ofcial with Seal

Note: Candidate shall retain the challan copy after payment with them Note: Candidate shall retain the challan copy after payment with them Note: Candidate shall retain the challan copy after payment with them for
for future reference. for future reference. future reference.

Registration Date: 2017-06-09 Print Date: 2017/06/09 Registration Date: 2017-06-09 Print Date: 2017/06/09 Registration Date: 2017-06-09 Print Date: 2017/06/09