For Customer Use

Chulalongkorn University Academic Testing Center (CU-ATC)

Registration Report
Name : Peeraporn Prasertburanakul Application No. : 63038693
Venue : Chulalongkorn University
Test Schedule and Fee
Test Date Test Applied Test Time Fee (Baht)
20 Dec 2020 CU-TEP 08:30 - 11:30 900.00
Total Registration Fee 900.00

Important Notes : Bank Use Only

1. Payment deadline is on 24 Nov 2020
2. Non payment or payment after the payment deadline will result in
an automatic cancellation of the registration. Received By ............................
3. Payment made by using the bank's deposit slip will also result in an
automatic cancellation of the registration. Date ......./......./.......
4. Applicants who deposit money into CU-ATC account after the payment
deadline or with improper methods will not be able to get a refund
and will not be allowed to defer registration fee. Signature and Stamp
5. The applicant must keep this part as an unofficial/temporary receipt.
..................................................................................................................................................................

For Bank Use

โปรดเรียกเก็บค่าธรรมเนียมจากผู้ชำระเงิน

Chulalongkorn University Academic Testing Center (CU-ATC)

Registration Report

For Deposit into CU-ATC account at : Name : Peeraporn Prasertburanakul

Application No. (Ref.1) : 630386932631124
Siam Commercial Bank PCL. Ref.2 : 110040117196227
A/C No : 045-3-03857-1 (สาขาสภากาชาดไทย) (10/10)
Amount (Baht) : 900.00
Krung Thai Bank PCL. Amount (In Word) :
Product Code : 80078 (10/10)
-Nine Hundred Baht-
TMB Bank PCL.
Bank Use Only
Com Code : 2611 (10/10)

Counter Service Received By ............................

(10/10)
Date ......./......./.......
Deposit by/Tel. ........................................

Payment deadline is on 24 Nov 2020 **Cash Payment Only**

099400016390802 630386932631124 110040117196227 90000