Bank Copy Candidate Copy KEA Copy

Karnataka CET-2017 Online Bank Challan Karnataka CET-2017 Online Bank Challan Karnataka CET-2017 Online Bank Challan
For UG Courses For UG Courses For UG Courses

SBM CBS SCREEN : 8888 SBM CBS SCREEN : 8888 SBM CBS SCREEN : 8888
FEE COLLECTION NO : 122 FEE COLLECTION NO : 122 FEE COLLECTION NO : 122
KEA Ref Number 1291484002 KEA Ref Number 1291484002 KEA Ref Number 1291484002
Date of Birth 05/03/1998 Date of Birth 05/03/1998 Date of Birth 05/03/1998
Student Name PUNEETHKUMAR Student Name PUNEETHKUMAR Student Name PUNEETHKUMAR
M M M
Bank Ref Number Bank Ref Number Bank Ref Number
Paid into the credit of KEA 64175018740 Paid into the credit of KEA 64175018740 Paid into the credit of KEA 64175018740
AccNo: AccNo: AccNo:
Bank Name: State Bank of Bank Name: State Bank of Bank Name State Bank of
Mysore Mysore Mysore
Particulars: Amount Particulars: Amount Particulars: Amount
Application Fees(Rs) 650 Application Fees(Rs) 650 Application Fees(Rs) 650
Bank Charges(Rs) 10 Bank Charges(Rs) 10 Bank Charges(Rs) 10
Total(Rs): 660 Total(Rs): 660 Total(Rs): 660
Amount in Words: Six Hundred Sixty rupees Amount in Words: Six Hundred Sixty rupees Amount in Words: Six Hundred Sixty rupees

Signature of Remitter/Applicant Signature of Remitter/Applicant Signature of Remitter/Applicant

Date and Seal: | Signature of Receiving Date and Seal: | Signature of Receiving Date and Seal: | Signature of Receiving
Authority Authority Authority

LAST DATE FOR PAYMENT OF FEE: LAST DATE FOR PAYMENT OF FEE: LAST DATE FOR PAYMENT OF FEE:
02-03-2017 02-03-2017 02-03-2017

27:02:2017 01:46:51