Andhra Bank- ANDB0000604 Andhra Bank- ANDB0000604 Account No. 060411100004517 Account No. 060411100004517 Account No. 060411100004517 PARTICULARS OF REMITTANCE PARTICULARS OF REMITTANCE PARTICULARS OF REMITTANCE BANDA BANDA BANDA Student Name : Student Name : Student Name : DHARMATEJA DHARMATEJA DHARMATEJA Rank/Score : 356 Rank/Score : 356 Rank/Score : 356 HTNO/RegdNo : 200042 HTNO/RegdNo : 200042 HTNO/RegdNo : 200042 The following amount is paid towards tuition fee The following amount is paid towards tuition fee The following amount is paid towards tuition fee of ME/MTech/MPharmacy admission of ME/MTech/MPharmacy admission of ME/MTech/MPharmacy admission Amount:15000 Amount:15000 Amount:15000 (Rupees fifteen thousand ) (Rupees fifteen thousand ) (Rupees fifteen thousand )
Signature of Bank Signature of the
Signature of Bank Signature of the Signature of Bank Signature of the Official Remitter Official Remitter Official Remitter
Seal of Bank: Scroll No:
Seal of Bank: Scroll No: Seal of Bank: Scroll No: BANK COPY CANDIDATE COPY COLLEGE/CONVENER COPY Note : Bank is requested to record the HTNO