Professional Documents
Culture Documents
Challan Format PGI
Challan Format PGI
Challan Format PGI
Application Fee Details for various Courses Application Fee Details for various Courses Application Fee Details for various Courses
PGIMER PGIMER PGIMER
CBS Screen- 8888 FEE TYPE- 482 CBS Screen- 8888 FEE TYPE-482 CBS Screen- 8888 FEE TYPE-482
Applicants Name : Mr./Mrs : Applicants Name : Mr./Mrs : Applicants Name : Mr./Mrs :
Account No. : 32211613319 Account No. : 32211613319 Account No. : 32211613319
BRANCH, CHANDIGARH (Code No.) : BRANCH, CHANDIGARH (Code No.) : BRANCH, CHANDIGARH (Code No.) :
SBI Branch Name : SBI Branch Name : SBI Branch Name :
Post Code : Post Code : Post Code :
Application No./Reference No. : Application No./Reference No. : Application No./Reference No. :
Challan No./Journal No. : Challan No./Journal No. : Challan No./Journal No. :
DOB : DOB : DOB :
Deposit Date : Deposit Date : Deposit Date :
Application Fee : Rs 1000/- Application Fee : Rs 1000/- Application Fee : Rs 1000/-
(Rupees : One Thousand Zero Only) (Rupees : One Thousand Zero Only) (Rupees : One Thousand Zero Only)
Bank Charges : Rs. 30 Bank Charges : Rs. 30 Bank Charges : Rs. 30
Total : Total : Total :
Category : Category : Category :
Branch Receipt Stamp Authorised Signatory Branch Receipt Stamp Authorised Signatory Branch Receipt Stamp Authorised Signatory
(Name in Capital Letters) (Name in Capital Letters) (Name in Capital Letters)