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Name of Branch DIST.NO Name of Branch DIST.NO Name of Branch DIST.NO

Institute Name Institute Name Institute Name

Institute ID Institute ID Institute ID

Collection Code Collection Code Collection Code

Student

Name

Student

Name

Student

Name

Father's

Name

Father's

Name

Father's

Name

Student ID Mobile No. Student ID Mobile No. Student ID Mobile No.

Admission

Month/ Year

School

Name

Admission

Month/ Year

School

Name

Admission

Month/ Year

School

Name

Course Branch Course Branch Course Branch

Year/SemsterSex

MYear/Semster

Sex

MYear/Semster

Sex

M

Mode ofDeposit (cash/

Cheque/ DD)

Mode ofDeposit (cash/

Cheque/ DD)

Mode ofDeposit (cash/

Cheque/ DD)

Denomination Rs. PsChq

No

Date of

Chq

Name of

BankRs. Ps Denomination Rs. Ps

Chq

No

Date of

Chq

Name of

BankRs. Ps Denomination Rs. Ps

Chq

No

Date of

Chq

Name of

BankRs. Ps

1000* 1000* 1000*

500* 500* 500*

100* S.No ParticularsAmount

(Rs)100* S.No Particulars

Amount

(Rs)100* S.No Particulars

Amount

(Rs)

50* 1 Tuition Fee 50* 1 Tuition Fee 50* 1 Tuition Fee

20* 2 Hostel Fee 20* 2 Hostel Fee 20* 2 Hostel Fee

10* 3Exam.

Fee10* 3

Exam.

Fee10* 3

Exam.

Fee

5* 4 Bus Fee 5* 4 Bus Fee 5* 4 Bus FeeCoins* 5 Misc. Fee Coins* 5 Misc. Fee Coins* 5 Misc. Fee

Total 6 Other Fee Total 6 Other Fee Total 6 Other Fee

7 7 7

8 Total 8 Total 8 Total

Acknowledgement Acknowledgement AcknowledgementCashier/Officer

DD MM YYYY

Cashier/Officer

Amount (in words):Rs.

Name of the Depositor

Signature

Name of

Campus

Phone No

Address for

communication

Cash Deposit:

FEE HEADs

Cheque / DD Deposit:

DD MM YYYY

DETAILS OF THE STUDENT

Name of the Depositor

Signature

Phone No

FEE HEADs

Cash Deposit: Cheque / DD Deposit:

Address for

communication

DETAILS OF THE STUDENT

Name of

Campus

DD MM YYYY

Phone No

Name of the Depositor

Address for

communication

FEE HEADs

Cheque / DD Deposit:Cash Deposit:

Name of

Campus

CAUTION: USE FCMBR MENU IN FINANCLE CAUTION: USE FCMBR MENU IN FINANCLE CAUTION: USE FCMBR MENU IN FINANCLE

Bank Copy Student Copy University Copy

Punjab national bank Punjab national bank Punjab national bank

New / Exist

JAIPUR NATIONAL UNIVERSITY, JAGATPURA

JAIPUR RAJASTHAN

JAIPUR NATIONAL UNIVERSITY, JAGATPURA

JAIPUR RAJASTHAN

JAIPUR NATIONAL UNIVERSITY, JAGATPURA

JAIPUR RAJASTHAN

JNUJ JNUJ JNUJ

New / Exist New / Exist

Date of Deposit Date of Deposit Date of Deposit

DETAILS OF THE STUDENT

Amount (in words):Rs.Amount (in words):Rs.

Cashier/Officer

Signature

* cheque /DD are subject to realization * cheque /DD are subject to realization * cheque /DD are subject to realization

For Bank use only For Bank use only For Bank use only