RANI CHANNAMMA UNIVERSITY VIDYASANGAMA, BELAGAVI-591 156.

RANI CHANNAMMA UNIVERSITY

1

VIDYASANGAMA, BELAGAVI-591 156.

CDC FUND ACCOUNT

CDC FUND ACCOUNT

SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

SL NO 1 2 3 4 5 6 7 8 9 10 11

PARTICULARS

AMOUNT

Affiliation fees New Basic/Opt Subject fees Intake Increase fees (Course: Fees for Change of College Name

2

)

Fees for Shifting of College Campus/Building

Penal fees Others

SL NO 1 2 3 4 5 6 7 8 9 10 11

PARTICULARS

AMOUNT

Affiliation fees New Basic/Opt Subject fees Intake Increase fees (Course: Fees for Change of College Name

)

Fees for Shifting of College Campus/Building

Penal fees Others

TOTAL

TOTAL Rs. In words________________________________________________________ __________________________________________________________________.

Rs. In words________________________________________________________ __________________________________________________________________.

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ). ]

]

Signature of the Remitter Received the above sum of Rs._________________________________________ __________________________________________________________________.

Signature of the Remitter Received the above sum of Rs._________________________________________ __________________________________________________________________.

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Instruction to the receiving Branches:

Instruction to the receiving Branches:

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

BANK COPY

ACCOUNTS COPY

RANI CHANNAMMA UNIVERSITY VIDYASANGAMA, BELAGAVI-591 156.

RANI CHANNAMMA UNIVERSITY

3

VIDYASANGAMA, BELAGAVI-591 156.

CDC FUND ACCOUNT

CDC FUND ACCOUNT

SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

SL NO 1 2 3 4 5 6 7 8 9 10 11

PARTICULARS

AMOUNT

Affiliation fees New Basic/Opt Subject fees Intake Increase fees (Course: Fees for Change of College Name

)

Fees for Shifting of College Campus/Building

Penal fees Others

SL NO 1 2 3 4 5 6 7 8 9 10 11

PARTICULARS

4 2

AMOUNT

Affiliation fees New Basic/Opt Subject fees Intake Increase fees (Course: Fees for Change of College Name

)

Fees for Shifting of College Campus/Building

Penal fees Others

TOTAL

TOTAL

Rs. In words________________________________________________________ __________________________________________________________________.

Rs. In words________________________________________________________ __________________________________________________________________.

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

]

]

Signature of the Remitter Received the above sum of Rs._________________________________________ __________________________________________________________________.

Signature of the Remitter Received the above sum of Rs._________________________________________ __________________________________________________________________.

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Instruction to the receiving Branches:

Instruction to the receiving Branches:

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200017220 (IFSC No.SYNB0000552)

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

UNIVERSITY COPY

COLLEGE COPY

RANI CHANNAMMA UNIVERSITY

RANI CHANNAMMA UNIVERSITY

1

VIDYASANGAMA, BELAGAVI-591 156.

2

VIDYASANGAMA, BELAGAVI-591 156.

General FUND ACCOUNT

General FUND ACCOUNT

SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

CODE NO

205

PARTICULARS

AMOUNT

`.1,000/-

Initial Contribution (University Inter College Athletic Meet)

TOTAL

CODE NO

205

PARTICULARS

AMOUNT

`.1,000/-

Initial Contribution (University Inter College Athletic Meet)

`.1,000/-

TOTAL

`.1,000/-

Rs. In words: Rs. One Thousand Only. _________________________________ __________________________________________________________________.

Rs. In words: Rs. One Thousand Only. _________________________________ __________________________________________________________________.

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

]

]

Signature of the Remitter Received the above sum of Rs. One Thousand Only _______________________ __________________________________________________________________.

Signature of the Remitter Received the above sum of Rs. One Thousand Only _______________________ __________________________________________________________________.

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Instruction to the receiving Branches:

Instruction to the receiving Branches:

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

BANK COPY

ACCOUNTS COPY

RANI CHANNAMMA UNIVERSITY

RANI CHANNAMMA UNIVERSITY

3

VIDYASANGAMA, BELAGAVI-591 156.

4

VIDYASANGAMA, BELAGAVI-591 156.

General FUND ACCOUNT

General FUND ACCOUNT

SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

To be remitted in the : Syndicate Bank (Any Branch) Courses: Date:

CODE NO

205

PARTICULARS

AMOUNT

`.1,000/-

Initial Contribution (University Inter College Athletic Meet)

TOTAL

CODE NO

205

PARTICULARS

AMOUNT

`.1,000/-

Initial Contribution (University Inter College Athletic Meet)

`.1,000/-

TOTAL

`.1,000/-

Rs. In words: Rs. One Thousand Only. _________________________________ __________________________________________________________________.

Rs. In words: Rs. One Thousand Only. _________________________________ __________________________________________________________________.

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

Name of College with Address: _________________________________________ __________________________________________________________________ ___________________________________________(College Code No : ).

]

]

Signature of the Remitter Received the above sum of Rs. One Thousand Only _______________________ __________________________________________________________________.

Signature of the Remitter Received the above sum of Rs. One Thousand Only _______________________ __________________________________________________________________.

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Signature of the receiving Authority Casher Scroll No:_________________ Bank Seal With Date: _____________

Instruction to the receiving Branches:

Instruction to the receiving Branches:

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

Please remit the amount to Syndicate Bank R.C.U.Bhutaramanahatti, Belagavi Branch SB A/C No. 05522200016658 (IFSC No.SYNB0000552)

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

N.B.:FEES ONCE PAID WILL NOT BE REFUNDED CORRECTION SHOULD BE AVOIDED

UNICERSITY COPY

COLLEGE COPY