Students/ Remitters Copy Universitys Copy Banks Copy

(To be attached along with the relevant document)

MAHATMA GANDHI
UNIVERSITY
In P In P In P In Pursuit of Excellence ursuit of Excellence ursuit of Excellence ursuit of Excellence




MAHATMA GANDHI
UNIVERSITY
In P In P In P In Pursuit of ursuit of ursuit of ursuit of Excellence Excellence Excellence Excellence




MAHATMA GANDHI
UNIVERSITY
In P In P In P In Pursuit of Excellence ursuit of Excellence ursuit of Excellence ursuit of Excellence
Pay in- Slip Pay in- Slip Pay in- Slip
Paid to the credit of Mahatma Gandhi University
A/c No. 67114059391 at SBT MG University Campus
Branch, Kottayam
Paid to the credit of Mahatma Gandhi University
A/c No. 67114059391 at SBT MG University Campus
Branch,
Kottayam
Paid to the credit of Mahatma Gandhi University
A/c No. 67114059391 at SBT MG University Campus Branch,
Kottayam
Pay in- Slip ` `` ` Pay in- Slip ` `` ` Pay in- Slip ` `` `
A Affiliation Fee Viz. Course affiliation /College affiliation /
Students affiliation
A Affiliation Fee Viz. Course affiliation /College affiliation /
Students affiliation
A Affiliation Fee Viz. Course affiliation /College affiliation /
Students affiliation

B Annual Administration Fee B Annual Administration Fee B Annual Administration Fee
C Registration Fee Examination/Entrance
Examination/Matriculation
C Registration Fee Examination/Entrance
Examination/Matriculation
C Registration Fee Examination/Entrance
Examination/Matriculation

D Application Form Fee D Application Form Fee D Application Form Fee
E Certificates Fee
Degree/Provisional/Duplicate/Migration/Other
Certificates
E Certificates Fee
Degree/Provisional/Duplicate/Migration/Other
Certificates
E Certificates Fee
Degree/Provisional/Duplicate/Migration/Other
Certificates

F Fee to University Teaching
Departments/Hostels/Library
F Fee to University Teaching
Departments/Hostels/Library
F Fee to University Teaching
Departments/Hostels/Library

G Reimbursement from various Departments G Reimbursement from various Departments G Reimbursement from various Departments
H Other items of Fee (Specify)

H Other items of Fee (Specify)

H Other items of Fee (Specify)

..

Bank Charges 20 Bank Charges 20 Bank Charges 20
Total Total
Rupees(in words).......................

Rupees(in words)........................ Rupees(in words)........................
Particulars of the Candidate for whom the remittance is made
Name:
Address:
.
Phone/Mobile No:
Remitters Signature:

Particulars of the Candidate for whom the remittance is made
Name:
Address:
.
Phone/Mobile No:
Remitters Signature:

Particulars of the Candidate for whom the remittance is made
Name:
Address:
..
Phone/Mobile No:
Remitters Signature:
Bank Txn Journal No: Bank Txn Journal No: Bank Txn Journal No:
SBT Branches be guided by C & I Circular No.28/2009
dated 08/12/2009
SBT Branches be guided by C & I Circular No.28/2009
dated 08/12/2009
SBT Branches be guided by C & I Circular No.28/2009
dated 08/12/2009