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Challan PGI Copy Challan PGI Copy Challan PGI Copy

Application Fee Details for various Courses Application Fee Details for various Courses Application Fee Details for various Courses
PGIMER PGIMER PGIMER

CBS Screen- 8888 FEE TYPE- 482 CBS Screen- 8888 FEE TYPE-482 CBS Screen- 8888 FEE TYPE-482
Applicants Name : Mr./Mrs : Applicants Name : Mr./Mrs : Applicants Name : Mr./Mrs :
Account No. : 32211613319 Account No. : 32211613319 Account No. : 32211613319
BRANCH, CHANDIGARH (Code No.) : BRANCH, CHANDIGARH (Code No.) : BRANCH, CHANDIGARH (Code No.) :
SBI Branch Name : SBI Branch Name : SBI Branch Name :
Post Code : Post Code : Post Code :
Application No./Reference No. : Application No./Reference No. : Application No./Reference No. :
Challan No./Journal No. : Challan No./Journal No. : Challan No./Journal No. :
DOB : DOB : DOB :
Deposit Date : Deposit Date : Deposit Date :
Application Fee : Rs 1000/- Application Fee : Rs 1000/- Application Fee : Rs 1000/-
(Rupees : One Thousand Zero Only) (Rupees : One Thousand Zero Only) (Rupees : One Thousand Zero Only)
Bank Charges : Rs. 30 Bank Charges : Rs. 30 Bank Charges : Rs. 30
Total : Total : Total :
Category : Category : Category :

Branch Receipt Stamp Authorised Signatory Branch Receipt Stamp Authorised Signatory Branch Receipt Stamp Authorised Signatory
(Name in Capital Letters) (Name in Capital Letters) (Name in Capital Letters)

Fee receiving branch is advised to write the


deposit journal no. and branch code no. above Fee receiving branch is advised to write the deposit Fee receiving branch is advised to write the deposit
invariably. Fee will be deposit next working day or journal no. and branch code no. above invariably journal no. and branch code no. above invariably
before last date of application after generating Fee will be deposit next working day or before last date Fee will be deposit next working day or before last date
Challan. of application after generating Challan. of application after generating Challan.

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