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State Bank of Patiala Pay-in-slip No.

Name of the Branch ....


Branch Code . Date .

State Bank of Patiala Pay-in-slip No.


Name of the Branch ....
Branch Code . Date .

State Bank of Patiala Pay-in-slip No.


Name of the Branch ....
Branch Code . Date .

State Bank of Patiala Pay-in-slip No.


Name of the Branch ....
Branch Code . Date .

1st Part
To be retained by the Student

2nd Part
To be submitted to College

3rd Part
To be submitted to Fee Section

4th Part

University College of Engineering


Punjabi University, Patiala

University College of Engineering


Punjabi University, Patiala

University College of Engineering


Punjabi University, Patiala

To be retained by the Bank Branch


University College of Engineering
Punjabi University, Patiala

Beneficiary: Registrar, Pbi. Univ.


Account No. 55081437708

Beneficiary: Registrar, Pbi. Univ.


Account No. 55081437708

Beneficiary: Registrar, Pbi. Univ.


Account No. 55081437708

Beneficiary: Registrar, Pbi. Univ.


Account No. 55081437708

Student's Name ..........................................

Student's Name ..........................................

Student's Name ..........................................

Student's Name ..........................................

Class

...................Sem ..............

Class

...................Sem ..............

Class

...................Sem ..............

Class

...................Sem ..............

Roll No

........................................

Roll No

........................................

Roll No

........................................

Roll No

........................................

Session

July-12 to Dec.- 12

Session

July-12 to Dec.- 12

Session

July-12 to Dec.- 12

Session

July-12 to Dec.- 12

Rs.

Rs.

Rs.

...

In words Rs.

In words Rs.

...

In words Rs.

...

Rs.
In words Rs.

.
...

..

..

..

..

___________________________________

___________________________________

___________________________________

___________________________________

Bank Charges
Rs. _______________
Grand Total
Rs. _______________
In words Rs. _______________________
__________________________________

Bank Charges
Rs. _______________
Grand Total
Rs. _______________
In words Rs. _______________________
__________________________________

Bank Charges
Rs. _______________
Grand Total
Rs. _______________
In words Rs. _______________________
__________________________________

Bank Charges
Rs. _______________
Grand Total
Rs. _______________
In words Rs. _______________________
__________________________________

Signature of the Depositor

Signature of the Depositor

Signature of the Depositor

Mobile No. ..

Mobile No. ..

Mobile No. ..

Signature of the Depositor


Mobile No. ..

Head Cashier

Head Cashier

Head Cashier

Head Cashier

Signature of the Bank Officials


with Stamp & Date

Signature of the Bank Officials


with Stamp & Date

Signature of the Bank Officials


with Stamp & Date

Signature of the Bank Officials


with Stamp & Date

Meant For Existing Students of B. Tech & M. Tech . ( UCoE)

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