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College Copy

GAUHATI UNIVERSITY

Examination Form
Online Payment Receipt
Submitted Date:23/05/2019 Last Date :30/05/2019 Print Date & Time :23/05/2019 18:56:13

Form No. : 10915439

Name : PRANABESH ROY

Father's Name : PINTU RANJAN ROY

Mother's Name : PRIYA ROY

Degree : BA LLB IInd Sem

Subject : BA LLB

Category : TRADITIONAL

Paid Amount : 1010.00

Transaction ID / Demand Draft No. : EF_190523185333_871973

Payment Date : 23/05/2019 18:53:33

Mobile No. : 7896757818

I PRANABESH ROY hereby declare that I have made online payment for the online Examination fees, for which
details are mentioned above. If at any point of time it is found that the receipt is fake or amount is not credited in
University Account my Examination form will be rejected.

Date : 23/05/2019 Signature


Note : Please submit the E-Payment receipt's office copy to the single window in central office and keep the
student copy with yourself
Student Copy
GAUHATI UNIVERSITY

Examination Form
Online Payment Receipt
Submitted Date:23/05/2019 Last Date :30/05/2019 Print Date & Time :23/05/2019 18:56:13

Form No. : 10915439

Name : PRANABESH ROY

Father's Name : PINTU RANJAN ROY

Mother's Name : PRIYA ROY

Degree : BA LLB IInd Sem

Subject : BA LLB

Category : TRADITIONAL

Paid Amount : 1010.00

Transaction ID / Demand Draft No. : EF_190523185333_871973

Payment Date : 23/05/2019 18:53:33

Mobile No. : 7896757818

I PRANABESH ROY hereby declare that I have made online payment for the online Examination fees, for which
details are mentioned above. If at any point of time it is found that the receipt is fake or amount is not credited in
University Account my Examination form will be rejected.

Date : 23/05/2019 Signature


Note : Please submit the E-Payment receipt's office copy to the single window in central office and keep the
student copy with yourself

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