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CUT HERE
BANK COPY
(To be retained by concerned Axis Branch)
GATE 2015
CANDIDATE COPY
DEPOSIT AT ANY BRANCH OF AXIS BANK
BY CASH ONLY
BY CASH ONLY
Transaction ID :
10242592
Transaction ID :
10242592
G152U44
Rajat Kumar Sharma
G152U44
Rajat Kumar Sharma
Application Fee:
Bank Charges:
Total Amount Payable:
Rs. 1500.00
Application Fee:
Rs. 1500.00
Rs. 20
Bank Charges:
Total Amount Payable:
Rs. 20
Rs. 1520.00
Rupees One Thousand Five Hundred and Twenty
Only
Amount in Words:
Denomination
1000 X
500 X
100 X
50 X
20 X
10 X
5 X
No.
Rs.
Rs. 1520.00
Rupees One Thousand Five Hundred and Twenty
Only
Amount in Words:
Denomination
1000 X
500 X
100 X
50 X
20 X
10 X
5 X
P.
No.
..............................................................................................................................
( In Words )
..............................................................................................................................
(Details below to be filled in by the Bank)
P.
Total
Total
( In Words )
Rs.
...............................................................................................
......................................................................................................
Bank Branch:
...............................................................................................
Bank Branch:
......................................................................................................
Date of Deposit:
......../......../............ (DD/MM/YYYY)
Date of Deposit:
......../......../............
(DD/MM/YYYY)
Candidate's Signature
Signature of Bank's Official with Seal
Mobile No.
Candidate's Signature
8171020183
Mobile No.
8171020183