SBI Power Jyoti Account

SBI Power Jyoti Account SBI Power Jyoti Account SBI Power Jyoti Account
Note: Fee Collection Charges of Rs. 30/- per challan is to Note: Fee Collection Charges of Rs. 30/- per challan is to Note: Fee Collection Charges of Rs. 30/- per challan is to Note: Fee Collection Charges of Rs. 30/- per challan is to
be paid additionally be paid additionally be paid additionally be paid additionally

STUDENT'S COPY ACADEMIC'S COPY FINANCE'S COPY ACADEMIC SECTIONCOPY

Tezpur University, Tezpur 784028 Tezpur University, Tezpur 784028 Tezpur University, Tezpur 784028 Tezpur University, Tezpur 784028

Fee Payment Challan Fee Payment Challan Fee Payment Challan Fee Payment Challan

Tezpur University Fee Collection Account Number Tezpur University Fee Collection Account Number Tezpur University Fee Collection Account Number Tezpur University Fee Collection Account Number

STATE BANK OF STATE BANK OF STATE BANK OF STATE BANK OF

31223174021 31223174021 31223174021 31223174021
INDIA INDIA INDIA INDIA
Branch Name Branch Code Date Branch Name Branch Code Date Branch Name Branch Code Date Branch Name Branch Code Date

Students Name Student Name Student Name Student Name

Roll No. Roll No. Roll No. Roll No.

(Please key in the number correctly) (Please key in the number correctly) (Please key in the number correctly) (Please key in the number correctly)

Progm./Dept./ Sem Progm./Dept./ Sem Progm./Dept./Sem Progm./Dept./ Sem

Fee Code Fee Particulars Rs. Fee Code Fee Particulars Rs. Fee Code Fee Particulars Rs. Fee Code Fee Particulars Rs.
A Enrolment Fee A Enrolment Fee A Enrolment Fee A Enrolment Fee

B Hostel Admn Fee B Hostel Admn Fee B Hostel Admn Fee B Hostel Admn Fee

C Mediclaim fee C Mediclaim fee C Mediclaim fee C Mediclaim fee

D Caution Deposit D Caution Deposit D Caution Deposit D Caution Deposit

E Others E Others E Others E Others

J Late Fine J Late Fine J Late Fine J Late Fine

Total Total Total Total

Amount in words Amount in words Amount in words Amount in words

Nature of payment Nature of payment Nature of payment Nature of payment

Signature of the candidate/Remitter Signature of the candidate/Remitter Signature of the candidate/Remitter Signature of the candidate/Remitter
For Bank use only Rs. For Bank use only Rs. For Bank use only Rs. For Bank use only Rs.

Journal No: Journal No: Journal No: Journal No:

Seal/Date Authorized Signatory Seal/Date Authorized Signatory Seal/Date Authorized Signatory Seal/Date Authorized Signatory
NOTE: Hand over the University Copy to Tezpur University NOTE: Hand over the University Copy to Tezpur University NOTE: Hand over the University Copy to Tezpur University NOTE: Hand over the University Copy to Tezpur University