PAY-IN-SLIP 1st Copy

(To be retained by the Candidate)

To be filled in by the applicant
Name
(in Block Letter)


Address
(in Block Letter)




Phone/Mobile
Deposited Rs. 100/-
(Rupees One Hundred only)

Date :
Signature of the Applicant

For Bank Use Only
Deposit Journal No ......................................
Received on Date .......................................
Bank Name : UCO Bank
Branch Code :
Bank Branch Name :

Seal & Date Authorised Signatory


VIDYASAGAR UNIVERSITY
Midnapore - 721102

Admission to PG and Other Courses (2014-2015)

UCO Bank, Vidyasagar University Branch
Savings A/C No : 17480100001077

Application Fee

Rs. 100/-
(Rupees One Hundred only)
PAY-IN-SLIP
(To be attached with the Application Form)

To be filled in by the applicant
Name
(in Block Letter)


Address
(in Block Letter)




Phone/Mobile
Deposited Rs. 100/-
(Rupees One Hundred only)

Date :
Signature of the Applicant

For Bank Use Only
Deposit Journal No ......................................
Received on Date .......................................
Bank Name : UCO Bank
Branch Code :
Bank Branch Name :

Seal & Date Authorised Signatory


VIDYASAGAR UNIVERSITY
Midnapore - 721102

Admission to PG and Other Courses (2014-2015)

UCO Bank, Vidyasagar University Branch
Savings A/C No : 17480100001077

Application Fee

Rs. 100/-
(Rupees One Hundred only)
PAY-IN-SLIP 3rd Copy
(To be retained by the UCO Bank)

To be filled in by the applicant
Name
(in Block Letter)


Address
(in Block Letter)




Phone/Mobile
Deposited Rs. 100/-
(Rupees One Hundred only)

Date :
Signature of the Applicant

For Bank Use Only
Deposit Journal No ......................................
Received on Date .......................................
Bank Name : UCO Bank
Branch Code :
Bank Branch Name :

Seal & Date Authorised Signatory

VIDYASAGAR UNIVERSITY
Midnapore - 721102

Admission to PG and Other Courses (2014-2015)

UCO Bank, Vidyasagar University Branch
Savings A/C No : 17480100001077

Application Fee

Rs. 100/-
(Rupees One Hundred only)

2nd Copy