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Bhopal-Chiklod Road, Near Bangrasia Chouraha, Village-Mendua, Post- Bhojpur,

District- Raisen (M.P) Pin 464993. Phone: (0755) 2700400, 2700471


REMUNERATION BILL

Name …………………………………………………………………………………………….……………….…
Designation …………………………… Institute / University……………………………………………......…….
Mobile No. …………………………… Exam Session …………………………………….………….……….….
Department ……………………………………… …….……………………………………………………………

SETTING OF QUESTION PAPER Rate @ Total Amount


S.NO.
SUBJECT CODE SUBJECT
(1)
(2)
(3)
(4)
(5)
(6)
(7)

(8)
(9)
(10)
(11)
(12)

(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)

(21)
(22)
(23)
(24)
(25)

Grand Total (in Words) : ……………………………………………………………………Grand Total

Place ……………. Signature of Claimant


Date ……………. With Date
Bhopal-Chiklod Road, Near Bangrasia Chouraha, Village-Mendua, Post- Bhojpur,
District- Raisen (M.P) Pin 464993. Phone: (0755) 2700400, 2700471

FUND TRANSFER THROUGH: NEFT / RTGS

Name of the Applicant : …………………………………………………………………….

Applicant’s PAN No. : ………………………………………………………………………

Account No. of Applicant : ………………………………………………………………….

Bank Name & Branch : ……………………………………………………………………….

IFSC Code of the Bank : …………………………………………………………………….

Signature of Claimant
………………………………………………………………. ……………………………………
Verified and certified that above exam work has been done by the claimant for university and
the bill has been checked and found correct for dates and number of students.

Signature Head / Incharge

Name:

………………………………………………………………. ……………………………………
Verified and certified that the claimant has done the work assigned by the Rabindranath Tagore
University, Bhopal for which the bill has been preferred.

Assistant Registrar Controller Exam


(Confidential)

Passed for payment of Rs ………………… Rupees…………………………………..…only)

Accountant: Paid in Cash / by Cheque No. ……………………… Date ………………….. of Rs.

…………………………………………………………………………………….. only)

Signature

Chief Fin. & Acc. Officer /Acc. Officer

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