7023
Grad uate
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IUPUI OIi of Int rnat onal Alfa r
Sponsor Financial Supp ort Agre emen t
For Educational Expenses
To be completed by stude nt:
Pa tel Vrunda Ramchandra
Middl e Name
la~t Name First Name
11 /20 /20 02 20 01 58 84 60
Datt: of Birth {mont h/day /year) IUPUI University ID Numb er
To be completed by sponsor:
Declaration of Financial Support
By signing this form : ed stude nt for the
signature will be available to the above-nam
• I ensure the funds corresponding to my
first academic year at IUPUI. will be
year of expenses, and a comparable amo unt
• I understand the supp ort amo unt is for one
am.
needed for each year of the stude nt's progr ment .
for the purpose of issuing an immi grati on docu
• I understand this state ment is being used
Source of Funds (bank, loan company, etc.)
$ Amou nt
L
Sponsor Name: _ _ _ _ . ;_P--'a~t.. .::e;_;I__ Ramchandra
First Name
Last or Family Name
Sponsor's Relationship to applicant: _ _ F'---'a~t-'-h-'-e-"-'r__ __ __ __ __ __ __ __ ___
bad . Indi a 380061
Mailin gAdd ress: 3 Cha nch al Bua g Soc.• Gha tlod ia. Ahm eda
__ __ __
v_r_u_n_d_a..,_p_a_t_e_la_b_c.,.@"'-'g""-m_a_i_l._c_o_m__ __ __ __
E-mail Address: _ _
Sponsor O /_e j fJ fl __ __ __ ____ __ __
Signature; _!,..j_C,C{'-"[i,:___...:.f_'v
Date :Q.1 _; __j_Q_; 202 ~
Mont h Day Year
ment eform on your Atlas account.
leted agreement to the Financial Support Agree
Stude nt: Please scan and upload this comp
1~1)1 \:'\\I 7\1\ I H~I I'\
,o,
Grdduatc
Pl HUl L l NI\ UtSI 1'\ IUl'UI OHie. of l111111J.Jlton I Afr Ir
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Sponsor Financial Support Agreement
For Educational Expenses
To be completed by student:
Patel Vrunda Ramchandra
Last Narrie First Name Middle NiJme
11/20/2002 2001588460
Date of Birth jmonth/day/year) IUPUI Un1vers1ty ID Number
To oe completed by sponsor:
Declaration of Financial Support
By signing this form:
• I ensure the funds corresponding to my signature will be available to the above-named student for the
first academic year at IUPUI.
• I understand the support amount is for one year of expenses, and a comparable amount will be
needed for each year of the student's program.
• I understand this statement is being used for the purpose of issuing an immigration document.
I Source of Funds (bank, loan company, etc.)
I --
$ Amount
Sponsor Name: Patel Sharmistha
Last or Family Name F1r~t Name
Sponsor's Helat1onsh1p to apphc,rnt: _ __;;M..:. :. o=-'t::.:h'-'--'e:::.. r:. .__________________
Ma111n8 Add,css 3 Chanchal Buaq Soc., Ghatlodia. Ahmedabad. India 380061
I rnJII Addres~ vrundaRatelabc@g..._m_a_i_
l._
c_o_m______________
Spon~or
s,,:rrnturc:
DJtc: 0 :f_ / j O / o2_o -2.)
Month Day Year
~tudPnt Pli~a\c ~ciln and uplo,irl 1l11s co111ph•tcd llgn•enwnt to tlw Financial Support Agreement eform on your Atlas account.
Abhyuday Co-op. 8 nk Ltd., (Mult t iu k 1 ol 3
HATLODIJ\
900 - St t m nt o! A unt h
------- --------- ---
sto
-----------------------
r Account No SB/0000884
---------------
uat r Name PAT L RAH IIANDRA
dr aa l, CHJ\NCHAL TY RANNA J\RK
GHATLODIA
IN Code EC N 01 0111oouoq 4
380061
rom Date : 01/07/20~4 To Date • 10/01/ 025
Opl.'r,iny Bal J, 41,l 2 77
ate Instr------------------------
No Particulers
-----------------------------------------------------
Debits Credi ta Bal
07 2024 ------------------------
100 42 ------------------------
JG lNTERNATI NAL SCHOOL
------------------------------
27,249.00 1,213,873 77 r
07 2024
RTGS HCG MEDI SURGE HO~Pl FCR
251,719.00 1.471, 92 7 r
l MAHARAS YESBOOOOOOl
5 07/2024
S.I No 1971/SB 8847/GHATLODIA 16,808.00
Bronch 1,4 4,784
9 08/ 024 RT S H t-1
1 MAHJ\RAS
6 08/2024 100250 TR SOD RAMCHANDRA PAINTS CO, 300,000 00
08/2024 S,I No 1973/SB/8841/GHATLODIA 16,808.00 l.
Branch
08/2024 RTGS JAY UMESHBHAI KHATRI 1,200,000.00 195,6Q5,77 C r
HDFC0001678 ABIY0065208
9/08/2024 RTGS JAY UMESHBl!AI KHATRI 49.00 195,646.77 Cr
HDFC0001678 J\BHY0065208
9/08/2024 CGST 075011100008846 Ben IFSC 4.41 1<15,642.36 Cr
Code• HDFC0001678
9/08/2024 SGST 075011100008846 Ben IFSC 4, 41 195,637.95 Cr
Code• HDFC0001678
4 09/2024 2 CTS-HAY 1,200,000.00 1,395,637.95 Cr
0 2024 RTGS HCG MEDI SURGE HOSPI f"OR 7, 71<1,0 1, 1,
1 MAHARAS YESBOOOOOOl
9 09/2024 100254 TR SOD 2 RAMCHANDRA PAINTS CO 1,000,000.00 653,3%95 Ct
3/09/2024 100253 NIJ\ Ahmed11b11d DO IV 700.00
3/09/2024 100 52 NEW INDIA ASSURANCE CO LTD •5.ll .00
5 09/2024 S I No 1973/S6/8847/GHATL I 16,8J8. 0
Brancli
7 09/2024 Int for CR. 18,320.00 598,549 9 Cr
01/01/20 4-)1/08/ 1
0 09/ 0 4 NEFT THt DR&AM CO OP !OUS ING 30,000.00 568,549.9~ Ct
SERVICE SO ICICOOO 585
ABHY0065208
0/09/20H NEFT T>!& Dli\&A!1 CO OP H U NG 4 00
SERVICE SO ICICOO? 585
AB!iY0065208
30/09/2024 CGST 07501110000884& Ben IFS o. 36 508,5·15.59 Cr
Code ICICOOO 85
0 09/20 4 SGST 07501110 0 884b B 0.1( 568,54~ 2J I
Code ICICOOO ~8
0/09/2024 NEFT THE NEW INDIA ASSU RANCE 115,991.00 684,536 . 23 Cr
COMPANY LI 9210200-1195 6535
UTIB0000004 AX
5/10/2024 9509~1134 KOTAK LIFE l'\3,376 00 531, 160.~3 Cr
INSURANCE- /10 0 4
5 10/2024 9509911158KOTAK 205,47 00 32~. 688 2 3 Cr
INSURAN -0
1/10/20 4 410541 Credit b~ HANDRA , 300,JOO.OC. ., • ~JBS .• 3
AITS
0/10/2024 RTGS HCG MEDI SURGE HOSP! FOR 257,719.00 2,883,~07.23 Ct
l MAHARIIS Y&SBOOOOO~l
l 10/2024 100243 JG INTtRNATlONAL SCHOO~ 31,791.00 .,851.6lu.
THE BHAGYODAYA CO-OPERATIVE BANK LTD
GHATLODIA, PH: 079-27600846,079-27603585
MIC-R~ :380134009- ----- -x~Fsc; .:-HDFC0CT-BCBL- -------- -;r-i~t-;a-t~-~{01~"iii0is-;:;:-0~~;;---
SB · SAVINGS DEPOSIT Statement Of Account From 01/06/2024 To 31/12/2024
A/c No: 134009001004735 A/c Name: SHARMISHTHA RAMCHANDRA PATEL
Customer Id: 159383 Address· 1.CHANCHALBAUG SOCI NR RANNA PARK BUS STOP, GHArLODIA AHMlOABAD 3fl00GI
KYC No • 20008213390392
PAN · ALBPP4806D Joint Oet iils ·
A/c Status · OPEN JOINT: RAMCH1INORA RAGHABHAI PATEL Effective from 19/03/2020
Open Date 26/07/2004
Mode EITHER OR SURVIVOR
Old A/c No : 134009001004735
Mobile No ; 9879558698
Email Id ·
Interest Rate(%): 3.25
Date Narration ChequeNo Debit Credit Balance
OPENING BALANCE 1329446 42
20/07/2024 CTS_CLG: PRATIBHA PANKAJ ANJANIKUM 48 2000.00 1327446 42
03/08/2024 BY TRF-CAPITAL FIRST LTD DT-01-08·24 0 20.80 1327467 22
29/08/2024 ACHC/From:RELIANCE INDUSTRIES /Ref No.: 241580758 24561 520.00 1327987 22
02/09/2024 ACHC/From:KSL FNL 2023 2024 /Ref No.: 22441 24598 4000.00 1331987 22
27/09/2024 ACHC/From:USL FIN DIV 23 24 /Ref No.: 17562 24920 250.00 1332237.22
30/09/2024 INT· 30/03-29/09 29242403 21777.00 1354014 22
18/11/2024 IMPS/432312928372/JAGDISHBHAI 928372 100000
RAMANBHA/9913534610/346301500087/Sh.rmlshta/lCICI Bank
18/11/2024 IMPS/432313004458/JAGDISHBHAI 4458 499000.00 1854014.22
RAMANBHA/9913534610/346301500087/Sharmlshta/lCICI Bank
19/11/2024 IMPS/432415397779/JAGOISHBHAI 397779 500000.00 2354014 22
RAMANBHA/9913534610/346301500087/Sharmishta/lCICI Bank
05/12/2024 ACHC/From:RSY 2ND INT 2024 /Ref No.: 18265 25697 3055.00 2357069 22
13/12/2024 RTGS,TO-VAIBHAV PRAVIN PATEL ICIC0000585 KKN, so 300000.00 2057069 22
CLOSING BALANCE 2057069 22
TOTAL OEBIT(2) & TOTAL CREOIT(9) •-·> 302000.00 1029622.80
• .if there Is any discrepancy in the above mentloned statement kindly let us know within 10 days from the date of receipt of the statement
• .Please ensure to maintain minimum balance Rs.999 in the account.
User Name: bkm,port No.: RPT/1726) f~1·
Cle,k/&,,., '
Note :- This Is a computer generated statement ence gnature Is not required.
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