Institute Copy Candidate Copy

Vivekananda Institute of Professional Studies-Technical Campus Vivekananda Institute of Professional Studies-Technical Campus
AU-Block (Outer Ring Road), Pitampura, Delhi-110034 AU-Block (Outer Ring Road), Pitampura, Delhi-110034
Fees Deposit Challan 2021-22 Fees Deposit Challan 2021-22

Note:- Bank Draft shall be drawn in favour of Note:- Bank Draft shall be drawn in favour of
“Vivekananda Institute of Professional Studies - Technical Campus” “Vivekananda Institute of Professional Studies - Technical Campus”
payable at New Delhi. payable at New Delhi.
Date:__________ Date:__________
Course: MCA Course: MCA
Name of Student:_____________________________________________________________________________ Name of Student:_____________________________________________________________________________
University Enrolment No:.__________________________________________________________________ University Enrolment No:.__________________________________________________________________
Father’s Name:________________________________________________________________________________ Father’s Name:________________________________________________________________________________
Resd. Address:________________________________________________________________________________ Resd. Address:________________________________________________________________________________
__________________________________________________________________________________________________ __________________________________________________________________________________________________
Mob No.._____________________ Email Id:______________________________________________________ Mob No.._____________________ Email Id:______________________________________________________
Pay Order No./D D No:._______________________________________Dated________________________ Pay Order No./D D No:._______________________________________Dated________________________
Drawn on (Bank Name): ____________________________________________________________________ Drawn on (Bank Name): ____________________________________________________________________
*Balance Amt. of Fee Payable in *Balance Amt. of Fee Payable in
Particulars the Institute at the time of Particulars the Institute at the time of
admission (Rs.) admission (Rs.)
Tuition Fees 1,44,000 Tuition Fees 1,44,000
University Charges 15,000 University Charges 15,000
Student Activity Fee 1,000 Student Activity Fee 1,000
Security Deposit (One Time Payment Refundable) 5,000 Security Deposit (One Time Payment Refundable) 5,000
Total 165,000 Total 165,000
Amount already paid in University (-) 40,000 Amount already paid in University (-) 40,000
Balance Amount Rs. 125,000 Balance Amount Rs. 125,000

Signature of the Student / Depositor Signature of the Student / Depositor

................................................................................................................................................................
For Office Use
Received with Thanks from_________________________________________________________________
University Enrolment No._________________________ Pay Order/D.D. No.__________________
for Rs._________________________________ Inward S.No.__________________________________________
................................................................................................................................................................
For Office Use
Received with Thanks from_________________________________________________________________
University Enrolment No._________________________ Pay Order/D.D. No.__________________
for Rs._________________________________ Inward S.No.__________________________________________

Authorised Signatory Authorised Signatory