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Cash Only Branch Copy Candidate’s Copy Hall’s Copy

Atri Hall of Residence, VSSUT, Burla Atri Hall of Residence, VSSUT, Burla Atri Hall of Residence, VSSUT, Burla
Hostel Fees Hostel Fees Hostel Fees
Cash can be tendered at any Branch of State Bank of Cash can be tendered at any Branch of State Bank of Cash can be tendered at any Branch of State Bank of
India India India
Account No. 31529665705 Account No. 31529665705 Account No. 31529665705
Bank : State Bank of India Bank : State Bank of India Bank : State Bank of India
Branch : BURLA - 02034 Branch : BURLA - 02034 Branch : BURLA - 02034
IFSC Code : SBIN0002034 IFSC Code : SBIN0002034 IFSC Code : SBIN0002034
Boarder’s Name (in BLOCK LETTER) Boarder’s Name (in BLOCK LETTER) Boarder’s Name (in BLOCK LETTER)

Stream:BTech/MTech/MCA Stream:BTech/MTech/MCA Stream:BTech/MTech/MCA


Roll Number : Roll Number : Roll Number :

Hostel Fees Details: Rs. Hostel Fees Details: Rs. Hostel Fees Details: Rs.

Total Rs. Total Rs. Total Rs.


Deposit Date: Deposit Date: Deposit Date:

DD MM YY DD MM YY DD MM YY
Transaction ID Transaction ID Transaction ID
(Bank Journal No) (Bank Journal No) (Bank Journal No)
Bank : Bank : Bank :
Branch: Branch: Branch:
Branch Code : Branch Code : Branch Code :
Authorized Signatory Authorized Signatory Authorized Signatory
Instruction for the BANK: Instruction for the BANK: Instruction for the BANK:
Please enter name of the candidate in full in CBS Please enter name of the candidate in full in CBS Please enter name of the candidate in full in CBS
with Transaction ID with Transaction ID with Transaction ID

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