1 To Be Retained by The Student 2 Part (Duplicate) To Be Submitted To College 3 Part (Triplicate)

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State Bank of Patiala Pay-in-slip No.

Name of the Branch ....


Code ..
Date .

State Bank of Patiala Pay-in-slip No.


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

State Bank of Patiala Pay-in-slip No.


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

1st Part
To be retained by the Student

2nd Part (Duplicate)


To be submitted to College

3rd Part (Triplicate)

University College of Engineering


Punjabi University, Patiala

Beneficiary: SAF_UCoE

To be retained by the Bank Branch


University College of Engineering
Punjabi University, Patiala

University College of Engineering


Punjabi University, Patiala

Beneficiary: SAF_UCoE

(Student Activity Fund)

Beneficiary: SAF_UCoE
(Student Activity Fund)

(Student Activity Fund)

Account No. 65020146056

Account No. 65020146056

Account No. 65020146056

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

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

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

Class

Class

Class

Code No

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

Code No

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

Code No

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

Session

2013-14

Session

2013-14

Session

2013-14

` 1000/-

` 1000/-

` 1000/-

In words Rs. One Thousand Only.

In words Rs. One Thousand Only.

In words Rs. One Thousand Only.

_______________________________________

_______________________________________

_______________________________________

Bank Charges ` _______________________


Grand Total ` _______________________
In words Rs. ___________________________
______________________________________

Bank Charges ` _______________________


Grand Total ` _______________________
In words Rs. ___________________________
______________________________________

Bank Charges ` _______________________


Grand Total ` _______________________
In words Rs. ___________________________
______________________________________

Signature of the Depositor

Signature of the Depositor

Signature of the Depositor

Head Cashier
Signature of the Bank Officials
with Stamp & Date

Head Cashier
Signature of the Bank Officials
with Stamp & Date

Head Cashier
Signature of the Bank Officials
with Stamp & Date

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