Professional Documents
Culture Documents
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)