Aimsr - Fee Data Capture Form v.2
Aimsr - Fee Data Capture Form v.2
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
5369 6429
Transaction ID-T2303251217004215540496
Year 5
Year 5
Year 5
Year 5
Year 5
Year 5
Year 5
Year 5
Year 5