Challan

SL.No 1 SL.No 2 SL.No 3

ORIGINAL DUPLICATE TRIPLICATE
(Bank's Copy) (SLET Commission Office Copy) (Depositor's Copy)
STATE BANK OF INDIA STATE BANK OF INDIA STATE BANK OF INDIA
..................Branch ..................Branch ..................Branch
SLET Commission,Assam(NE Region) 781014 SLET Commission,Assam(NE Region) 781014 SLET Commission,Assam(NE Region) 781014

Fee Type : 427 Screen No.: 8888 Fee Type : 427 Screen No.: 8888 Fee Type : 427 Screen No.: 8888

A/C No : 34966566918 A/C No : 34966566918 A/C No : 34966566918

Application No / Reg. No : 127508 Application No / Reg. No : 127508 Application No / Reg. No : 127508

Subject : Education Subject : Education Subject : Education

Name : Tulu Bhuyan Name : Tulu Bhuyan Name : Tulu Bhuyan

DOB : 31-01-1976 DOB : 31-01-1976 DOB : 31-01-1976

Category : GENERAL Category : GENERAL Category : GENERAL

Address : C/O: Indreswar Bhuyan Address : C/O: Indreswar Bhuyan Address : C/O: Indreswar Bhuyan
Kowamara satra Kowamara satra Kowamara satra
P.O. Sukan Pukhuri P.O. Sukan Pukhuri P.O. Sukan Pukhuri
Sivasagar Sivasagar Sivasagar

a)Examination Fees : 1200.00 a)Examination Fees : 1200.00 a)Examination Fees : 1200.00

b)Bank Charges : 60.00 b)Bank Charges : 60.00 b)Bank Charges : 60.00

Total : 1260.0 Total : 1260.0 Total : 1260.0

Rupees(in words): ONE THOUSAND TWO HUNDRED Rupees(in words): ONE THOUSAND TWO HUNDRED Rupees(in words): ONE THOUSAND TWO HUNDRED
SIXTY RUPEES ONLY SIXTY RUPEES ONLY SIXTY RUPEES ONLY

Date: Full Signature of Depositor Date: Full Signature of Depositor Date: Full Signature of Depositor
(For BANK USE ONLY) (For BANK USE ONLY) (For BANK USE ONLY)

Transaction/BankJournal No : Transaction/BankJournal No : Transaction/BankJournal No :

(Rupees in words only) (Rupees in words only) (Rupees in words only)

Credited to the account of SLET commission,Assam Credited to the account of SLET commission,Assam Credited to the account of SLET commission,Assam

Chief Manager Chief Manager Chief Manager

State Bank of india State Bank of india State Bank of india
Date : Branch Date : Branch Date : Branch
Last date of Fee Payment: 9th/Dec/2017 Last date of Fee Payment: 9th/Dec/2017 Last date of Fee Payment: 9th/Dec/2017