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Receipt

Name of the Institute/Organisation___________________________________________________________

Name of the Student______________________________________________________________________

Residential address(with postal code): ________________________________________________________

_______________________________________________________________________________________

Course Fee:________ Rebate:______ Payable Fee:________ Reference:_____________________________

Date Deposited(Rs.) Balance(Rs.) Mode Signature


1st Installment
2ndInstallment
3rdInstallment
4thInstallment
5thInstallment
6thInstallment
Total(Rs.)

Signature of the student: Signature of the fee collector:

___________________ ________________________

Receipt
Name of the Institute/Organisation___________________________________________________________

Name of the Student______________________________________________________________________

Residential address(with postal code): ________________________________________________________

_______________________________________________________________________________________

Course Fee:________ Rebate:______ Payable Fee:________ Reference:_____________________________

Date Deposited(Rs.) Balance(Rs.) Mode Signature


st
1 Installment
2ndInstallment
3rdInstallment
4thInstallment
5thInstallment
6thInstallment
Total(Rs.)

Signature of the student: Signature of the fee collector:

___________________ ________________________

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