Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 01-01-2020 Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Benificiary/Remittance Details Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
Date: 01-01-2020
State Bank MOPS Reference No. CPX5053650
Benificiary/Remittance Details
Beneficiary: IITKGP e transaction
State Bank MOPS Reference No. CPX5053650
Merchant Reference No: PAYFEE-18IE10021-2019-108
Beneficiary: IITKGP e transaction
Rs P
Merchant Reference No: PAYFEE-18IE10021-2019-108
Collection Amount 102757 00
Comission 59 00 Rs P
Total ( One Lakh And Two Thousand And Eight Hundred And Sixteen Rupees Collection Amount 102757 00
102816 00
Only) Comission 59 00
Total ( One Lakh And Two Thousand And Eight Hundred And Sixteen Rupees
Details of Cash Rs p 102816 00
Only)

Cash

Amount
Total Rs
Cash Notes Rs P

Instructions for Depositor: This is not an e-receipt. *2000

*500
(To be Filled in by the Bank) *200
*100
Journal No:
*50
*20
Branch Name: *10

Branch Code: Deposit Date:

Coins
Total Rs
Branch Stamp

Authorised Signatory Signature of the Depositor

Space for Bank use

Branch Stamp
 Institute Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Date: 01-01-2020

Benificiary/Remittance Details
State Bank MOPS Reference No. CPX5053650
Beneficiary: IITKGP e transaction
Merchant Reference No: PAYFEE-18IE10021-2019-108
Rs P
Collection Amount 102757 00
Comission 59 00
Total ( One Lakh And Two Thousand And Eight Hundred And Sixteen Rupees
102816 00
Only)

Details of Cash Rs p

Total Rs

Instructions for Depositor: This is not an e-receipt.

(To be Filled in by the Bank)

Journal No:

Branch Name:

Branch Code: Deposit Date:

Branch Stamp

Authorised Signatory