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Challan PDF

This document is a challan form for polytechnic exam registration. It provides instructions for students to deposit examination fees into a bank account belonging to Jharkhand University of Technology, Ranchi. The form lists various fee amounts for different exam situations and requires students to tick the applicable fee amount. It collects identifying information about the student like registration number, name, date of birth, contact details. Once fees are deposited, the bank and candidate copies are to be collected with the board copy attached to the application form.

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PINAKI BISWAS
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399 views

Challan PDF

This document is a challan form for polytechnic exam registration. It provides instructions for students to deposit examination fees into a bank account belonging to Jharkhand University of Technology, Ranchi. The form lists various fee amounts for different exam situations and requires students to tick the applicable fee amount. It collects identifying information about the student like registration number, name, date of birth, contact details. Once fees are deposited, the bank and candidate copies are to be collected with the board copy attached to the application form.

Uploaded by

PINAKI BISWAS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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S.B.T.E. Jharkhand / S.B.T.E. Jharkhand / S.B.T.E.

Jharkhand /
Jharkhand University of Jharkhand University of Jharkhand University of
Technology, Ranchi Technology, Ranchi Technology, Ranchi
BANK'S COPY BOARD'S COPY CANDIDATE'S COPY
Challan for Polytechnic Exam / Registration Challan for Polytechnic Exam / Registration Challan for Polytechnic Exam / Registration
It must be deposited in United Bank of India It must be deposited in United Bank of India It must be deposited in United Bank of India
Name of A/C : Jharkhand University of Name of A/C : Jharkhand University of Name of A/C : Jharkhand University of
Technology, Ranchi Technology, Ranchi Technology, Ranchi
A/c No. : 1842050000532 A/c No. : 1842050000532 A/c No. : 1842050000532
IFSC No. : UTBI0SCTQ03 IFSC No. : UTBI0SCTQ03 IFSC No. : UTBI0SCTQ03
TICK [] WHICH IS APPLICABLE: TICK [] WHICH IS APPLICABLE: TICK [] WHICH IS APPLICABLE:
Amount of fees : Amount of fees : Amount of fees :
Examination Fee (VI Sem) : Rs 1500/- [ ] Examination Fee (VI Sem) : Rs 1500/- [ ] Examination Fee (VI Sem) : Rs 1500/- [ ]
Examination Fee (I toV Sem) : Rs 1000/- [ ] Examination Fee (I toV Sem) : Rs 1000/- [ ] Examination Fee (I toV Sem) : Rs 1000/- [ ]
Registration Fee : Rs 350/- [ ] Registration Fee : Rs 350/- [ ] Registration Fee : Rs 350/- [ ]
Examination Fee for ONE Paper : Rs 500/- [ ] Examination Fee for ONE Paper : Rs 500/- [ ] Examination Fee for ONE Paper : Rs 500/- [ ]
Examination Fee for TWO Paper : Rs 750/- [ ] Examination Fee for TWO Paper : Rs 750/- [ ] Examination Fee for TWO Paper : Rs 750/- [ ]
Late fine (After due date) : Rs 200/- [ ] Late fine (After due date) : Rs 200/- [ ] Late fine (After due date) : Rs 200/- [ ]
Others : Rs……….. [ ] Others : Rs……….. [ ] Others : Rs……….. [ ]
TOTAL AMOUNT : TOTAL AMOUNT : TOTAL AMOUNT :
Amount in words: ……………………………………………... Amount in words: ……………………………………………... Amount in words: ……………………………………………...

Examination / Registration : ________________________ Examination / Registration : ________________________ Examination / Registration : ________________________

Registration No. : _________________________________ Registration No. : _________________________________ Registration No. : _________________________________

Student's Name : _________________________________ Student's Name : _________________________________ Student's Name : _________________________________

Date of Birth : ____________________________________ Date of Birth : ____________________________________ Date of Birth : ____________________________________

Aadhar No. : ____________________________________ Aadhar No. : ____________________________________ Aadhar No. : ____________________________________

Mobile No. : _____________________________________ Mobile No. : _____________________________________ Mobile No. : _____________________________________

Transaction ID - AA : _________________________ Transaction ID - AA : _________________________ Transaction ID - AA : _________________________

In NFFT / RTGS,UTR No. : _________________________ In NFFT / RTGS,UTR No. : _________________________ In NFFT / RTGS,UTR No. : _________________________

Deposit Date : ________/_______ / ________ Deposit Date : ________/_______ / ________ Deposit Date : ________/_______ / ________

Candidate’s Institute Auth. Receiving Sign.


Candidate’s Institute Auth. Receiving Sign. Candidate’s Institute Auth. Receiving Sign.
Signature Signature & Seal Signature Signature & Seal
Signature Signature & Seal

Instruction for Student: Submit the requisite fee and collect Instruction for Student: Submit the requisite fee and collect Instruction for Student: Submit the requisite fee and collect
Board's & Candidate's Copy from Bank. Attach the Board's Copy Board's & Candidate's Copy from Bank. Attach the Board's Copy Board's & Candidate's Copy from Bank. Attach the Board's Copy
with the Application Form. with the Application Form. with the Application Form.

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