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Aimsr - Fee Data Capture Form v.2

The document outlines a student registration and payment record for tuition and hostel fees at Apollo Institute of Medical Sciences and Research. It includes sections for multiple transactions detailing payment dates, amounts, transaction methods, bank account numbers, and receipt numbers. The document is structured to capture information for up to ten transactions across multiple academic years.

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nandhini056789
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0% found this document useful (0 votes)
7 views

Aimsr - Fee Data Capture Form v.2

The document outlines a student registration and payment record for tuition and hostel fees at Apollo Institute of Medical Sciences and Research. It includes sections for multiple transactions detailing payment dates, amounts, transaction methods, bank account numbers, and receipt numbers. The document is structured to capture information for up to ten transactions across multiple academic years.

Uploaded by

nandhini056789
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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BATCH

INSTITUTION NAME
STUDENT NAME
STUDENT MOBILE NUMBER
Collpoll (Digii Campus) Student Registration ID
Collpoll (Digii Campus) Student Email ID (@aimsrchittoor.edu.in) Format
Registration ID

1st TRANSACTION
1. Date of Payment
1. Transaction Amount
1. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
1. Bank Account Number to which Tution Fee is paid by student
1. Bank Account Number to which Hostel Fee is paid by student
1. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach proof)
1. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Hostel Fee
(Attach proof)

2nd TRANSACTION
2 Date of Payment
2. Transaction Amount
2. UPI/ NEFT/ RTGS / IMPS /CASH DEPOSIT / CHEQUE Transaction Number
2. Bank Account Number to which Tution Fee is paid by student
2. Bank Account Number to which Hostel Fee is paid by student
2. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
2. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

3rd TRANSACTION
3. Date of Payment
3. Transaction Amount
3. UPI/ NEFT/ RTGS / IMPS /CASH DEPOSIT / CHEQUE Transaction Number
3. Bank Account Number to which Tution Fee is paid by student
3. Bank Account Number to which Hostel Fee is paid by student
3. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
3. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

4th TRANSACTION
4. Date of Payment
4. Transaction Amount
4. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
4. Bank Account Number to which Tution Fee is paid by student
4. Bank Account Number to which Hostel Fee is paid by student
4. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
4. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

5th TRANSACTION
5. Date of Payment
5. Transaction Amount
5. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
5. Bank Account Number to which Tution Fee is paid by student
5. Bank Account Number to which Hostel Fee is paid by student
5. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
5. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

6th TRANSACTION
6. Date of Payment
6. Transaction Amount
6. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
6. Bank Account Number to which Tution Fee is paid by student
6. Bank Account Number to which Hostel Fee is paid by student
6. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
6. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

7th TRANSACTION
7. Date of Payment
7. Transaction Amount
7. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
7. Bank Account Number to which Tution Fee is paid by student
7. Bank Account Number to which Hostel Fee is paid by student
7. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
7. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

8th TRANSACTION
9. Date of Payment
9. Transaction Amount
9. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
9. Bank Account Number to which Tution Fee is paid by student
9. Bank Account Number to which Hostel Fee is paid by student
9. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
9. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

9th TRANSACTION
9. Date of Payment
9. Transaction Amount
9. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
9. Bank Account Number to which Tution Fee is paid by student
9. Bank Account Number to which Hostel Fee is paid by student
9. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
9. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)

10th TRANSACTION
10. Date of Payment
10. Transaction Amount
10. UPI/ NEFT/ RTGS / IMPS CASH DEPOSIT / CHEQUE Transaction Number
10. Bank Account Number to which Tution Fee is paid by student
10. Bank Account Number to which Hostel Fee is paid by student
10. Apollo Receipt Number Given by Accounts Department/Payment Reference Number for Tution fee
(Attach Proof)
10. Apollo Receipt Number Given by Accounts Department/Payment Reference Number
(Attach Proof)
2021
Apollo Institute of Medical Sciences and Research
Bandi Saisree
7330641359

[email protected]

Year 1 Year 2 Year 3 Year 4


3/14/2022 3/13/2023 3/23/2024
95000 65000 65000
UPI UPI UPI
917010059805711 917010059805711 917010059805711
917010059805711 917010059805711 917010059805711

3264 6278 2804

Year 1 Year 2 Year 3 Year 4


4/29/2022 5/26/2023 4/18/2024
10000 20000 10000
UPI UPI UPI
917010059805711 917010059805711 917010059805711
917010059805711 917010059805711 917010059805711

4114 6428 2985

Year 1 Year 2 Year 3 Year 4


10/21/2022 6/1/2023
90000 20000
UPI UPI
917010059805711 917010059805711
917010059805711 917010059805711

5369 6429

Year 1 Year 2 Year 3 Year 4


11/9/2023
50000
UPI
917010059805711
917010059805711
7248

Year 1 Year 2 Year 3 Year 4


3/25/2023
9900
UPI
917010059805711
917010059805711

Transaction ID-T2303251217004215540496

Year 1 Year 2 Year 3 Year 4

Year 1 Year 2 Year 3 Year 4

Year 1 Year 2 Year 3 Year 4

Year 1 Year 2 Year 3 Year 4


Year 1 Year 2 Year 3 Year 4
Year 5

Year 5

Year 5

Year 5
Year 5

Year 5

Year 5

Year 5

Year 5
Year 5

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