Notification Application Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 10

,,,.

o o io
I

PAY IN SLIP
,1,
PAY IN SLIP PAY IN SLIP
ll
SCHOOLCOPY BOARDCOPY BANKCOPY
Challan No. Dt. hallan No Dt. I chatlan No. Dt.
STATE BANK OF INDIA STATE BANK OF INDIA STATE BANK OF INDIA
Deposited at SBI Deposited at SB! Deposited at SBI
For Credit of For Credit of For Credit of
BOARD OF SECONDARY EDUCATION, ODISHA, CUTTACK BOARD OF SECONDARY EDUCATION, ODISHA, CUTTACK BOARD OF SECONDAdY EOUCRION, ODISHA, CUTTACK
(Fee Collection A/C) (Fee Collection A/C) (Fee Collection A/C)
A/C No.- 3 7 5 2 6 8 0 4 5 2 5 A/C No.- 3 7 5 2 6 8 0 4 5 2 5 A/C No.-

Fee:- Rs.:- Fee:- Rs.:- Fee:- Rs.:-


Bank Charges:- Rs.:- 30.00 Bank Charges:- Rs.:- 30.00 BankCharges:- Rs.:- 30.00
TotalCharges:- Rs.:- TotalCharges:- Rs.:- TotalCharges:- Rs.:-
BANK RECEIPT SEAL BANK RECEIPT SEAL BANK RECEIPT SEAL

Class/ Course - Fresh/ Renewal Recognition,2023-24 Class/ Course - Fresh/ Renewal Recognition,2023-24 GIass/ Course - Fresh/ Renewal Recognition ,2023-24

(Bank charges to be recovered and deposited by (Bank charges to be recovered and deposited by (Bank charges to be recovered and deposited by
transacting branch in their commission account.) transacting branch in their commission account.) transacting branch in their commission account.)
Journal No. (To be filled by Branch) - Journal No. (To be filled by Branch) - Journal No. (To be filled by Branch) -
Name of the School : Name of the School : Name of the School :

SchoolCode:- SchoolCode:- SchoolGode:-

Fee for Fresh/ Renewal Recognition, 2023-24 Fee for Fresh/ Renewal Recognition ,2023-24 Fee for Fresh/ Renewal Recognition, 2023-24

Full Signature of the Head of the lnstitution Full Signature of the Head of the lnstitution Full Signature of the Head of the lnstitution

You might also like