BANK COPY UNIVERSITY COPY REMITTER’S COPY

Branch : Branch : Branch :

Code No : Date : Code No : Date : Code No : Date :
Paid into the Credit of Paid into the Credit of Paid into the Credit of
The Registrar, The Registrar, The Registrar,
Anna University of Technology, Coimbatore Anna University of Technology, Coimbatore Anna University of Technology, Coimbatore
A/c. No.1120-155-115181 A/c. No.1120-155-115181 A/c. No.1120-155-115181
(USE CAPITAL LETTERS) (USE CAPITAL LETTERS) (USE CAPITAL LETTERS)
Programme : M.E/M.Tech./MBA/MCA Semester Fees Programme : M.E/M.Tech./MBA/MCA Semester Fees Programme : M.E/M.Tech./MBA/MCA Semester Fees
Name of the Student Name of the Student Name of the Student
Reg. No.(12 Digits) Reg. No.(12 Digits) Reg. No.(12 Digits)
Year & Batch Year & Batch Year & Batch
Course Course Course
Branch Branch Branch
S em es te r S em es te r S em es te r
M o de Full Time / Part Time M o de Full Time / Part Time M o de Full Time / Part Time
Code Classification of Fees Amount (Rs.) Code Classification of Fees Amount (Rs.) Code Classification of Fees Amount (Rs.)
A Consolidated Tution Fees & Other Fee 14000 A Consolidated Tution Fees & Other Fee 14000 A Consolidated Tution Fees & Other Fee 14000
B Library Fee 1000 B Library Fee 1000 B Library Fee 1000
C Internet Fee 500 C Internet Fee 500 C Internet Fee 500
D Enrolment Fee 500 D Enrolment Fee 500 D Enrolment Fee 500
E Cultural Activities Fees 250 E Cultural Activities Fees 250 E Cultural Activities Fees 250
F Computer Maintenance Fees 1000 F Computer Maintenance Fees 1000 F Computer Maintenance Fees 1000
G Lab Consumable Charges 1000 G Lab Consumable Charges 1000 G Lab Consumable Charges 1000
H Seminar/Workshop/Conference Fee 500 H Seminar/Workshop/Conference Fee 500 H Seminar/Workshop/Conference Fee 500
I Development Fee 1000 I Development Fee 1000 I Development Fee 1000
J Sports Fee 250 J Sports Fee 250 J Sports Fee 250
Total 20000 Total 20000 Total 20000

Sum of Rs.20000/-(RupeesTwenty thousand only) Sum of Rs.20000/-(RupeesTwenty thousand only) Sum of Rs.20000/-(RupeesTwenty thousand only)

Ad dre ss Remitter’s Signature

Ad dre ss Remitter’s Signature Ad dre ss Remitter’s Signature
Phone No.
For Bank use
Cashier Scroll No. Officer/Manager
Denomination Rupees
1000 X
Phone No. Phone No.
500 X
100 X For Bank use For Bank use
50 X
X
Cashier Scroll No. Officer/Manager Cashier Scroll No. Officer/Manager
Total
Note: Bankers are requested to furnish the Register
number and Name of the student in the each transaction