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College Copy

GAUHATI UNIVERSITY

Examination Form
Online Payment Receipt
Submitted Date:28/11/2019 Last Date :30/11/2019 Print Date & Time :28/11/2019 13:02:33

Form No. : 10001289361

Name : GURSIM RANJIT SINGH

Father's Name : BALJIT SINGH

Mother's Name : BALWINDER KAUR

Degree : BBA Vth Sem

Category : TRADITIONAL

Paid Amount : 1570.00

Transaction ID / Demand Draft No. : EF_191128125940_650415

Payment Date : 28/11/2019 12:59:40

Mobile No. : 9957046086

I GURSIM RANJIT SINGH hereby declare that I have made online payment for the online Examination fees, for
which details are mentioned above. If at any point of time it is found that the receipt is fake or amount is not
credited in University Account my Examination form will be rejected.

Date : 28/11/2019 Signature


Note : Please submit the E-Payment receipt's office copy to the single window in central office and keep the
student copy with yourself
Student Copy
GAUHATI UNIVERSITY

Examination Form
Online Payment Receipt
Submitted Date:28/11/2019 Last Date :30/11/2019 Print Date & Time :28/11/2019 13:02:33

Form No. : 10001289361

Name : GURSIM RANJIT SINGH

Father's Name : BALJIT SINGH

Mother's Name : BALWINDER KAUR

Degree : BBA Vth Sem

Category : TRADITIONAL

Paid Amount : 1570.00

Transaction ID / Demand Draft No. : EF_191128125940_650415

Payment Date : 28/11/2019 12:59:40

Mobile No. : 9957046086

I GURSIM RANJIT SINGH hereby declare that I have made online payment for the online Examination fees, for
which details are mentioned above. If at any point of time it is found that the receipt is fake or amount is not
credited in University Account my Examination form will be rejected.

Date : 28/11/2019 Signature


Note : Please submit the E-Payment receipt's office copy to the single window in central office and keep the
student copy with yourself

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