AMITY UNIVERSITY ADMISSION ACADEMIC FEES PAY - IN SLIP

Through Easy Pay Axis Bank Copy

Bank Account No : 007010100685443

Form No : 1101250   Date :  ___/___/_____ Name of the Student

: Mr Tarun Singh Rawat

Program : MBA - International Business Admission Year

: 2010

Due Date

: Mar 26 2010

 100

0X 

500X 100X 50X 20X 10X 5X 

Mode of Payment

: DD / Cash

DD No : _________________ dt ___ /___ /_____ Amount : Rs. _____________

Amount ( in words)

: __________________________________________________________

Bank:________________________ Branch : ___________________________

  For Bank use Only : Transaction Number: ____________________dt : ___ / ___ / _____

[ Bank Seal ]      

Signature of Depositor

AMITY UNIVERSITY ADMISSION ACADEMIC FEES PAY - IN SLIP

 Student Copy

Bank Account No : 007010100685443

Form No : 1101250   Date :  ___/___/_____ 

Name of the Student

: Mr Tarun Singh Rawat

Program : MBA - International Business

Admission Year

: 2010

Due Date

: Mar 26 2010

 

1000X 

500X 100X 50X 20X 10X 5X 

Mode of Payment

: DD / Cash

DD No : _________________ dt ___ /___ /_____ Amount : Rs. _____________

Amount ( in words)

: __________________________________________________________

Bank:________________________ Branch : ___________________________

 

For Bank use Only :

Transaction Number: ____________________dt : ___ / ___ / _____

[ Bank Seal ]      

Signature of Depositor 1. PAN Number of the depositor is required  in case of cash deposit exceeding Rs. 50,000/-.2. The DD should be drawn in favor of 'Amity University Uttar Pradesh A/c Form No._____'3. Only drafts payable in local clearing are acceptable.4. Important Note: Do not drop the payment in drop box. Pay at Axis Bank counters only.