State Bank of India

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4/2/2016

StateBankofIndia

DIRECTORGENERALMEDICALEDUCATIONANDTRAINING
Date:

02Apr2016

6THFLOORJAWAHARBHAWANLUCKNOW,,LUCKNOW226001

eReceiptforStateBankCollectPayment
SBCollectReferenceNumber

DU43627206

Category

UPPGMECOUNSELLING2016

CONSELLINGTYPE

FIRST

ROLLNUMBER

140169

NAMEOFCANDIDATE

POONAMGAUTAM

NAMEOFFATHER

NANDKISHOREGAUTAM

DOBddmmyyyy

30061986

RANK

1912

MARKS

131

1COUNSELLINGCENTRE

LUCKNOW

2ADDRESSOFCANDIDATE

MIG41sector11awasvikascolonysikandraagra

3DISTRICTOFCANDIDATE

agra

4MOBILENOOFCANDIDATE

8439840497

5EMAILIDOFCANDIDATE

poogautam17@gmail.com

6ACCOUNTNUMBERFORREFUND

32690795105

7NAMEOFACCOUNTHOLDER

PoonamGautam

8BANKNAMEANDBRANCH

STATEBANKOFINDIA/S.N.MEDICALCOLLEGEAGRA

9IFSCODE

SBIN0007892

COUNSELLINGFEENONREFUNDABLE

800

SECURITYMONEYREFUNDABLE

5000

Transactioncharge

11.45

TotalAmount(InFigures)

5,811.45

TotalAmount(InWords)

RupeesFiveThousandEightHundredElevenandPaiseFortyFiveOnly

Remarks

Notification1

SecurityMoneyisRefundableundercertainRulesandRegulations
displayedatUPPGMEWebsite.SecurityMoneywillberefundedtothe
BankAccountdetailsmentionedabove.PLEASEFILLUPBANK
DETAILSVERYCAREFULLY,otherwiserefundprocesswillfail.

Notification2

Forsupportpleaseemailtodgmededu@gmail.comForTransaction
relatedissues,pleaseemailtosbi.06144@sbi.co.in

https://www.onlinesbi.com/prelogin/suvidhachallan.htm

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