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Delhi Technological University

Received a sum of Rs. 500/- (Five Hundred only) from Delhi School of Management, Delhi
Technological University as Prize Money for Guess-It-Mates organized by ASSETS, Delhi
Technological University on 06/06/2021.

Student Name ___________________________Roll No,________________

Batch ___________________ Dept. ______________________

Name of Bank and branch: __________________________________

Account No. : ______________________________________________

IFSC Code: ________________________________________________

PAN No. : _________________________________________________

Mobile No: ________________________________________________

Aadhaar Card no. _________________________________________

Signature ___________

Name ____________

Verified

Note: Kindly attached photo copy of your Aadhaar Card, Cheque leaves and College ID Card

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