7/31/2019 downloadBankChallanServlet

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PAY IN SLIP BANK'S COPY PAY IN SLIP GPAT'S COPY PAY IN SLIP CANDIDATE'S COPY

108814

(To be retained byBank)

108814

(To be sent toGPAT office)

108814

(To be retained by theCandidate)

_______________Branch ( SOL ID .* _________________) _______________Branch ( SOL ID .* _________________) _______________Branch ( SOL ID .* _________________)

(Type the Branch name and SOL Id.) (Type the Branch name and SOL Id.) (Type the Branch name and SOL Id.)

(GPAT-2012 Online Application Fee Payment Details) (GPAT-2012 Online Application Fee Payment Details) (GPAT-2012 Online Application Fee Payment Details)GPAT-2012 FEE COLLECTION A/C No. 02010100019073 GPAT-2012 FEE COLLECTION A/C No. 02010100019073 GPAT-2012 FEE COLLECTION A/C No. 02010100019073

UNIVERSITY CAMPUS M.S. University, Baroda (CODE:MSUNIV) UNIVERSITY CAMPUS M.S. University, Baroda (CODE:MSUNIV) UNIVERSITY CAMPUS M.S. University, Baroda (CODE:MSUNIV)

Name of the Candidate : ARINDOM MITRA Name of the Candidate : ARINDOM MITRA Name of the Candidate : ARINDOM MITRA

Address forCorrespondence : 38 B/ 22 TAGORE TOWN

Address forCorrespondence : 38 B/ 22 TAGORE TOWN

Address forCorrespondence : 38 B/ 22 TAGORE TOWN

ALLAHABAD - 211002 ALLAHABAD - 211002 ALLAHABAD - 211002

UTTAR PRADESH UTTAR PRADESH UTTAR PRADESH

Mobile/Landline No.: 9935612324 / 5322466953 Mobile/Landline No.: 9935612324 / 5322466953 Mobile/Landline No.: 9935612324 / 5322466953

E-mail Address: aditya1764@gmail.com E-mail Address: aditya1764@gmail.com E-mail Address: aditya1764@gmail.com

Category : GENERAL Category : GENERAL Category : GENERAL

Physically Disabled: YES Physically Disabled: YES Physically Disabled: YES

Head Amount Credit to Head Amount Credit to Head Amount Credit to

Application Fee 490.00 02010100019073 Application Fee 490.00 02010100019073 Application Fee 490.00 02010100019073

Bank's Charges 10.00 Credit to receivingbranch P/L I/C A/c

Bank's Charges 10.00 Credit to receivingbranch P/L I/C A/c

Bank's Charges 10.00 Credit to receivingbranch P/L I/C A/c

Total 500.00 Total 500.00 Total 500.00

Amount in words: RS. FIVE HUNDRED ONLY Amount in words: RS. FIVE HUNDRED ONLY Amount in words: RS. FIVE HUNDRED ONLY

Signature of the Candidate/Remitter Signature of the Candidate/Remitter Signature of the Candidate/Remitter

For Receiving Branch use only For Receiving Branch use only For Receiving Branch use only

APPLICATION NUMBER TRANSACTION ID* APPLICATION NUMBER TRANSACTION ID* APPLICATION NUMBER TRANSACTION ID*

108814 00 108814 00 108814 00

1. Please credit Rs. 10/- to your Branch P/L I/C A/c No. _____________ 1. Please credit Rs. 10/- to your Branch P/L I/C A/c No. _____________ 1. Please credit Rs. 10/- to your Branch P/L I/C A/c No. _____________

2. Please note to write the TRANSACTION ID in all the challans. 2. Please note to write the TRANSACTION ID in all the challans. 2. Please note to write the TRANSACTION ID in all the challans.

3. PAYABLE AT ALL BRANCHES OF BANK OF BARODA 3. PAYABLE AT ALL BRANCHES OF BANK OF BARODA 3. PAYABLE AT ALL BRANCHES OF BANK OF BARODA

* To be filled by Bank staff * To be filled by Bank staff * To be filled by Bank staff

SEAL / DATE AUTHORISED SIGNATORY SEAL / DATE AUTHORISED SIGNATORY SEAL / DATE AUTHORISED SIGNATORY