(Challan for KSPC Online Registration )

www.sbtonline.in
REGISTRANTS COPY

Branch :

(Challan for KSPC Online Registration )

www.sbtonline.in
KSPC COPY

(Challan for KSPC Online Registration )

www.sbtonline.in

BANK COPY

PAY IN SLIP

PAY IN SLIP

PAY IN SLIP

State Bank of Travancore

State Bank of Travancore

State Bank of Travancore

Date

20

Branch :

Date

20

Branch :

Date

Account Name : Kerala State Pharmacy Council

Account Name : Kerala State Pharmacy Council

Account Name : Kerala State Pharmacy Council

Account No.

Account No.

Account No.

TVM Main Branch (000028)

DENO

Registrants Name
and Address

Branch

PIECES

Amount
Rs

Ps

1000 x

: 67335018932
:

TVM Main Branch (000028)

DENO

Registrants Name
and Address

Signature of Depositor

CASH DEPOSIT

CASH DEPOSIT

Tel / Mob

20

10

Amount
Rs

Ps

: 67335018932
:

Tel / Mob

coin

Signature of Depositor

Total

100 x
50

20

10

Tel / Mob

coin

Signature of Depositor

Total

Rupees( in words)

For office use only

For office use only

For office use only

Authorised Signatory

TRAN.ID

Cashier

PIECES

Amount
Rs

Ps

1000 x
500 x

Rupees( in words)

Cashier

DENO

Registrants Name
and Address

Rupees( in words)

TRAN.ID

TVM Main Branch (000028)

500 x

100 x
x

PIECES

1000 x

500 x
50

Branch

CASH DEPOSIT

Branch

: 67335018932

20

Authorised Signatory

TRAN.ID

100 x
50

20

10

coin
Total

Cashier

Authorised Signatory