PAYING IN VOUCHER – HOSTEL RENT PAYING IN VOUCHER – HOSTEL RENT PAYING IN VOUCHER – HOSTEL RENT

UNIVERSITY OF JAFFNA – SRI LANKA UNIVERSITY OF JAFFNA – SRI LANKA UNIVERSITY OF JAFFNA – SRI LANKA
THIRUNELVELY JAFFNA THIRUNELVELY JAFFNA THIRUNELVELY JAFFNA

Please pay at any Branch of the People’s Bank Please pay at any Branch of the People’s Bank Please pay at any Branch of the People’s Bank

People’s Bank: ……………………… People’s Bank: ……………………… People’s Bank: ………………………

Bank Manager Bank Manager Bank Manager

Please credit to Reference No. 950000100000397 of the Please credit to Reference No. 950000100000397 of the Please credit to Reference No. 950000100000397 of the
University of Jaffna, Sri lanka, at the University Branch of the University of Jaffna, Sri lanka, at the University Branch of the University of Jaffna, Sri lanka, at the University Branch of the
Peoples’Bank. Peoples’Bank. Peoples’Bank.

Name of Payer:…………………………………… ……………. Name of Payer:…………………………………… ……………… Name of Payer:…………………………………………………….

Registration Number:…………………………………………… Registration Number:……………………………………………… Registration Number:………………………………………………
Course of Study:………………………………………………… Course of Study:…………………………………………………… Course of Study:……………………………………………………
Payer’s Address:………………………………………………… Payer’s Address:…………………………………………………… Payer’s Address:……………………………………………………
…………………………………………………………………... ……………………………………………………………………… ……………………………………………………………………..
…………………………………………………………………... …………………………………………………………………….. ……………………………………………………………………..
Reason for Payment: Reason for Payment: Reason for Payment:
Details of Fees Payable Details of Fees Payable Details of Fees Payable
Rs. Rs. Rs.
(a) Hostel Rent 2400.00 (b) Hostel Rent 2400.00 (c) Hostel Rent 2400.00

Total 2400.00 Total 2400.00 Total 2400.00

Total in words: Two thousand four hundred only Total in words: Two thousand four hundred only Total in words: Two thousand four hundred only

………………………… ………………………… …………………………

Date: Depositor’s Signature
Received the above mentioned amount to be credited to the Account
No. 950000100000397 of the University of Jaffna, Sri Lanka, at the
University Branch of the People’s Bank.
…………………………………………………………….
Signature of the Manager/Authorized Officer & Bank Seal
Date: Depositor’s Signature
Received the above mentioned amount to be credited to the Account
No. 950000100000397 of the University of Jaffna, Sri Lanka, at the
University Branch of the People’s Bank.
…………………………………………………………….
Signature of the Manager/Authorized Officer & Bank Seal
Date: Depositor’s Signature
Received the above mentioned amount to be credited to the Account
No. 950000100000397 of the University of Jaffna, Sri Lanka, at the
University Branch of the People’s Bank.
…………………………………………………………….
Signature of the Manager/Authorized Officer & Bank Seal