S.B.T.E. Jharkhand / S.B.T.E. Jharkhand / S.B.T.E.

Jharkhand /
Jharkhand University of Jharkhand University of Jharkhand University of
Technology, Ranchi Technology, Ranchi Technology, Ranchi
BANK'S COPY BOARD'S COPY CANDIDATE'S COPY
Challan for Polytechnic Exam / Registration Challan for Polytechnic Exam / Registration Challan for Polytechnic Exam / Registration
It must be deposited in United Bank of India It must be deposited in United Bank of India It must be deposited in United Bank of India
Name of A/C : Jharkhand University of Name of A/C : Jharkhand University of Name of A/C : Jharkhand University of
Technology, Ranchi Technology, Ranchi Technology, Ranchi
A/c No. : 1842050000532 A/c No. : 1842050000532 A/c No. : 1842050000532
IFSC No. : UTBI0SCTQ03 IFSC No. : UTBI0SCTQ03 IFSC No. : UTBI0SCTQ03
TICK [] WHICH IS APPLICABLE: TICK [] WHICH IS APPLICABLE: TICK [] WHICH IS APPLICABLE:
Amount of fees : Amount of fees : Amount of fees :
Examination Fee (VI Sem) : Rs 1500/- [ ] Examination Fee (VI Sem) : Rs 1500/- [ ] Examination Fee (VI Sem) : Rs 1500/- [ ]
Examination Fee (I toV Sem) : Rs 1000/- [ ] Examination Fee (I toV Sem) : Rs 1000/- [ ] Examination Fee (I toV Sem) : Rs 1000/- [ ]
Registration Fee : Rs 350/- [ ] Registration Fee : Rs 350/- [ ] Registration Fee : Rs 350/- [ ]
Examination Fee for ONE Paper : Rs 500/- [ ] Examination Fee for ONE Paper : Rs 500/- [ ] Examination Fee for ONE Paper : Rs 500/- [ ]
Examination Fee for TWO Paper : Rs 750/- [ ] Examination Fee for TWO Paper : Rs 750/- [ ] Examination Fee for TWO Paper : Rs 750/- [ ]
Late fine (After due date) : Rs 200/- [ ] Late fine (After due date) : Rs 200/- [ ] Late fine (After due date) : Rs 200/- [ ]
Others : Rs……….. [ ] Others : Rs……….. [ ] Others : Rs……….. [ ]
TOTAL AMOUNT : TOTAL AMOUNT : TOTAL AMOUNT :
Amount in words: ……………………………………………... Amount in words: ……………………………………………... Amount in words: ……………………………………………...

Examination / Registration : ________________________ Examination / Registration : ________________________ Examination / Registration : ________________________

Registration No. : _________________________________ Registration No. : _________________________________ Registration No. : _________________________________

Student's Name : _________________________________ Student's Name : _________________________________ Student's Name : _________________________________

Date of Birth : ____________________________________ Date of Birth : ____________________________________ Date of Birth : ____________________________________

Aadhar No. : ____________________________________ Aadhar No. : ____________________________________ Aadhar No. : ____________________________________

Mobile No. : _____________________________________ Mobile No. : _____________________________________ Mobile No. : _____________________________________

Transaction ID - AA : _________________________ Transaction ID - AA : _________________________ Transaction ID - AA : _________________________

In NFFT / RTGS,UTR No. : _________________________ In NFFT / RTGS,UTR No. : _________________________ In NFFT / RTGS,UTR No. : _________________________

Deposit Date : ________/_______ / ________ Deposit Date : ________/_______ / ________ Deposit Date : ________/_______ / ________

Candidate’s Institute Auth. Receiving Sign.

Candidate’s Institute Auth. Receiving Sign. Candidate’s Institute Auth. Receiving Sign.
Signature Signature & Seal Signature Signature & Seal
Signature Signature & Seal

Instruction for Student: Submit the requisite fee and collect Instruction for Student: Submit the requisite fee and collect Instruction for Student: Submit the requisite fee and collect
Board's & Candidate's Copy from Bank. Attach the Board's Copy Board's & Candidate's Copy from Bank. Attach the Board's Copy Board's & Candidate's Copy from Bank. Attach the Board's Copy
with the Application Form. with the Application Form. with the Application Form.