STATE BANK OF INDIA Bank copy Application fee for January 2011

Ph.D / M.Tech (By Research) Application Fee ANNA UNIVERSITY OF TECHNOLOGY, COIMBATORE

STATE BANK OF INDIA

University copy

STATE BANK OF INDIA

Candidates copy

Application fee for January 2011

Ph.D / M.Tech (By Research) Application Fee ANNA UNIVERSITY OF TECHNOLOGY, COIMBATORE

Application fee for January 2011

Ph.D / M.Tech (By Research) Application Fee ANNA UNIVERSITY OF TECHNOLOGY, COIMBATORE

( To be filled by the Candidate)

Account No : 30663350414 Candidates Name :

Name of the Programme : Ph.D / M.Tech (by Research)

( To be filled by the Candidate)

( To be filled by the Candidate)

Account No : 30663350414 Candidates Name :

Name of the Programme : Ph.D / M.Tech (by Research)

Account No : 30663350414 Candidates Name :

Name of the Programme : Ph.D / M.Tech (by Research)

Faculty Category Mode Address

: : Full time / Part time : Internal / External : Pin :

Faculty Category Mode Address

: : Full time / Part time : Internal / External : Pin :

Faculty Category Mode Address

: : Full time / Part time : Internal / External : Pin :

Category Fees required

Gen SC/ST (Please tick mark

750

375

for proper category)

Gen SC/ST (Please tick mark Category for proper Fees required 750 375 category)
Signature of the Candidate

Category Fees required

Gen SC/ST (Please tick mark

750

375

for proper category)

Signature of the Candidate (To be filled by the Bank) (To be filled by the Bank) SBI Branch Name : SBI Branch Name : Branch Code Journal No Branch Code Journal No

Signature of the Candidate (To be filled by the Bank) SBI Branch Name : Branch Code Journal No

Deposit Date :

2 0 1 0
D D M M Y Y Y Y

Deposit Date :

2 0 1 0
D D M M Y Y Y Y

Deposit Date :

2 0 1 0
D D M M Y Y Y Y

Branch Stamp

Authorized signatory

Branch Stamp

Authorized signatory

Branch Stamp

Authorized signatory

All CBS Branches are to accept the remittance. Please Refer e-Circular SME/L&TP/CirNo./13/2007-2008 dt : 07-07-2008. Charges for fee collection Rs.50/- to be collected manually separately.

All CBS Branches are to accept the remittance. Please Refer e-Circular SME/L&TP/CirNo./13/2007-2008 dt : 07-07-2008. Charges for fee collection Rs.50/- to be collected manually separately.

All CBS Branches are to accept the remittance. Please Refer e-Circular SME/L&TP/CirNo./13/2007-2008 dt : 07-07-2008. Charges for fee collection Rs.50/- to be collected manually separately.