Cash Only Bank’s Copy Cash only Student’s Copy Cash Only University Copy (1) Cash Only

Student’s Copy Cash Only University Copy (1) Cash Only University Copy (2)

VSS University of Technology, Odisha, Burla VSS University of Technology, Odisha ,Burla VSS University of Technology, Odisha, Burla VSS University of Technology, Odisha, Burla
Semester Registration Fees Semester Registration Fees Semester Registration Fees Semester Registration Fees
Cash can be tendered at any Branch of State Bank Cash can be tendered at any Branch of State Bank Cash can be tendered at any Branch of State Bank Cash can be tendered at any Branch of State Bank
of India in favour of VSSUT, Burla payable to of India in favour of VSSUT, Burla payable to of India in favour of VSSUT, Burla payable to of India in favour of VSSUT, Burla payable to
Account No. 31728716110 Account No. 31728716110 Account No. 31728716110 Account No. 31728716110
Bank : State Bank of India Bank : State Bank of India Bank : State Bank of India Bank : State Bank of India
Branch : BURLA – 02034 Branch : BURLA – 02034 Branch : BURLA – 02034 Branch : BURLA – 02034
IFSC Code L SBIN0002034 IFSC Code L SBIN0002034 IFSC Code L SBIN0002034 IFSC Code L SBIN0002034
Student’s Name (in full & Block Letters) Student’s Name (in full & Block Letters) Student’s Name (in full & Block Letters) Student’s Name (in full & Block Letters)

* Stream : B. Tech/M. Tech/M.Sc/PhD * Stream : B. Tech/M. Tech/M.Sc/PhD * Stream : B. Tech/M. Tech/M.Sc/PhD * Stream : B. Tech/M. Tech/M.Sc/PhD
* Category : RB/RDS * Category : RB/RDS * Category : RB/RDS * Category : RB/RDS
Semester : Semester : Semester : Semester :
Registration No. Registration No. Registration No. Registration No.
Branch : Branch : Branch : Branch :
Fees Details: Fees Details: Fees Details: Fees Details:
Registration Fees Rs. Registration Fees Rs. Registration Fees Rs. Registration Fees Rs.

Total (in figure) Rs. Total (in figure) Rs. Total (in figure) Rs. Total (in figure) Rs.
(Rupees …………………………………… (Rupees …………………………………… (Rupees …………………………………… (Rupees ……………………………………
………………………………………… only) ………………………………………… only) ………………………………………… only) ………………………………………… only)

Deposit Date : Deposit Date : Deposit Date : Deposit Date :

DD MM YY DD MM YY DD MM YY DD MM YY
Transaction ID Transaction ID Transaction ID Transaction ID
(Bank Journal No.) (Bank Journal No.) (Bank Journal No.) (Bank Journal No.)
Bank/Branch/Branch Code Bank/Branch/Branch Code Bank/Branch/Branch Code Bank/Branch/Branch Code

Authorised Signatory Authorised Signatory Authorised Signatory Authorised Signatory

Instruction for the BANK:
Please enter name of the candidate in full in CBS
with Transaction ID and do not accept the fees
after the last date of registration
* Strike out which ever is not applicable/ See overleaf
Instruction for the BANK:
Please enter name of the candidate in full in CBS
with Transaction ID and do not accept the fees
after the last date of registration
* Strike out which ever is not applicable/ See overleaf
Instruction for the BANK:
Please enter name of the candidate in full in CBS
with Transaction ID and do not accept the fees
after the last date of registration
* Strike out which ever is not applicable/ See overleaf
Instruction for the BANK:
Please enter name of the candidate in full in CBS
with Transaction ID and do not accept the fees
after the last date of registration
* Strike out which ever is not applicable/ See overleaf