Challan 143989 10022015 122250

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Bank Copy Candidate Copy KEA Copy

Karnataka CET-2015 Online Bank Challan Karnataka CET-2015 Online Bank Challan Karnataka CET-2015 Online Bank Challan
For UG Courses For UG Courses For UG Courses

Application Number 143989 Application Number 143989 Application Number 143989


Student Name ZAINAB FATIMA Student Name ZAINAB FATIMA Student Name ZAINAB FATIMA
QAZI QAZI QAZI
Bank Ref Number Bank Ref Number Bank Ref Number
Paid into the credit of KEA 914020051500791 Paid into the credit of KEA 914020051500791 Paid into the credit of KEA 914020051500791
AccNo: AccNo: AccNo:
Bank Name: Axis Bank Bank Name: Axis Bank Bank Name Axis Bank
Particulars: Amount Particulars: Amount Particulars: Amount
Application Fees(Rs) 500 Application Fees(Rs) 500 Application Fees(Rs) 500
Bank Charges(Rs) 10 Bank Charges(Rs) 10 Bank Charges(Rs) 10
Total(Rs): 510 Total(Rs): 510 Total(Rs): 510

Amount in Words: Five Hundred Ten rupees Amount in Words: Five Hundred Ten rupees Amount in Words: Five Hundred Ten rupees

Signature of Remitter/Applicant Signature of Remitter/Applicant Signature of Remitter/Applicant

Date and Seal: | Signature of Receiving Date and Seal: | Signature of Receiving Date and Seal: | Signature of Receiving
Authority Authority Authority

LAST DATE FOR PAYMENT OF FEE: LAST DATE FOR PAYMENT OF FEE: LAST DATE FOR PAYMENT OF FEE:
04-03-2015 04-03-2015 04-03-2015

2/10/2015 12:22:51 PM

You might also like