Bank Slip

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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 (Original)


BANK COPY

2nd Part (Duplicate)


UNIVERSITY COPY

3rd Part (triplicate)


STUDENT COPY

Beneficiary: Registrar, Pbi. Univ., Patiala

Beneficiary: Registrar, Pbi. Univ., Patiala

Beneficiary: Registrar, Pbi. Univ., Patiala

Account No. 65008070498

Account No. 65008070498

Account No. 65008070498

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

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

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

Class & Subject......................................

Class & Subject......................................

Class & Subject......................................

Total Fees Paid

Total Fees Paid

Total Fees Paid

Rs.

Rs.

Rs.

In words Rs................

In words 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

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

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