6/26/2020 Untitled Page

Pakistan Institute of Engineering Pakistan Institute of Engineering Pakistan Institute of Engineering

& Applied Sciences (PIEAS) & Applied Sciences (PIEAS) & Applied Sciences (PIEAS)
STUDENT COPY PIEAS copy for UPLOADING BANK COPY

Online Deposit Slip Online Deposit Slip Online Deposit Slip

Branch Code: Date: - -2020 Branch Code: Date: - -2020 Branch Code: Date: - -2020

Branch Name: Branch Name: Branch Name:

Application Form No: BSA-107675-2020 Application Form No: BSA-107675-2020 Application Form No: BSA-107675-2020
CNIC / Form B No: 33100-4834631-7 CNIC / Form B No: 33100-4834631-7 CNIC / Form B No: 33100-4834631-7
Applicant's Name: Hassan raza Applicant's Name: Hassan raza Applicant's Name: Hassan raza
Father Name: Muhammad Arshad Father Name: Muhammad Arshad Father Name: Muhammad Arshad

Degree Program Please tick BS MS PhD Degree Program Please tick BS MS PhD Degree Program Please tick BS MS PhD

Amount Amount Amount

Amount in words Rs: Three Thousand Amount in words Rs: Three Thousand Amount in words Rs: Three Thousand
Rs: Rs: Rs:
and Five Hundred Rupees Only and Five Hundred Rupees Only and Five Hundred Rupees Only
3,500/- 3,500/- 3,500/-

_______________ ___________ _________ _______________ ___________ _________ _______________ ___________ _________

Applicant's Signature Cashier Officer Applicant's Signature Cashier Officer Applicant's Signature Cashier Officer

For Bank use only:

This Challan is payable through Askari bank ACMS only. Please enter Application Form No. in the box.
In case of any inconvenience regarding bank please contact: Bank Representative 051-9248585
Printed on: Friday, June 26, 2020, (valid for 4 days)

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