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Challan

SL.No 1 SL.No 2 SL.No 3

ORIGINAL DUPLICATE TRIPLICATE


(Bank's Copy) (SLET Commission Office Copy) (Depositor's Copy)
STATE BANK OF INDIA STATE BANK OF INDIA STATE BANK OF INDIA
..................Branch ..................Branch ..................Branch
SLET Commission,Assam(NE Region) 781014 SLET Commission,Assam(NE Region) 781014 SLET Commission,Assam(NE Region) 781014

Fee Type : 427 Screen No.: 8888 Fee Type : 427 Screen No.: 8888 Fee Type : 427 Screen No.: 8888

A/C No : 34966566918 A/C No : 34966566918 A/C No : 34966566918

Application No / Reg. No : 21034694 Application No / Reg. No : 21034694 Application No / Reg. No : 21034694

Subject : Physical Science Subject : Physical Science Subject : Physical Science

Name : Bikon Rabha Name : Bikon Rabha Name : Bikon Rabha

DOB : 23-11-1999 DOB : 23-11-1999 DOB : 23-11-1999

Category : ST Category : ST Category : ST

Address : Kalyanpur, Pulibor , Jorhat Address : Kalyanpur, Pulibor , Jorhat Address : Kalyanpur, Pulibor , Jorhat
Assam Assam Assam

a)Examination Fees : 1000.00 a)Examination Fees : 1000.00 a)Examination Fees : 1000.00

b)Bank Charges : 60.00 b)Bank Charges : 60.00 b)Bank Charges : 60.00

Total : 1060.0 Total : 1060.0 Total : 1060.0

Rupees(in words): ONE THOUSAND SIXTY RUPEES ONLY Rupees(in words): ONE THOUSAND SIXTY RUPEES ONLY Rupees(in words): ONE THOUSAND SIXTY RUPEES ONLY

Date: Full Signature of Depositor Date: Full Signature of Depositor Date: Full Signature of Depositor
(For BANK USE ONLY) (For BANK USE ONLY) (For BANK USE ONLY)

Transaction/BankJournal No : Transaction/BankJournal No : Transaction/BankJournal No :

(Rupees in words only) (Rupees in words only) (Rupees in words only)

Credited to the account of SLET commission,Assam Credited to the account of SLET commission,Assam Credited to the account of SLET commission,Assam

Chief Manager Chief Manager Chief Manager


State Bank of india State Bank of india State Bank of india
Date : Branch Date : Branch Date : Branch

Last date of Fee Payment: 31st/Dec/2021 Last date of Fee Payment: 31st/Dec/2021 Last date of Fee Payment: 31st/Dec/2021

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