Acknowledge by Bank & Hand Over to Student

Bank Copy (To be retained by branch) Student Copy Institute Copy (Acknowledge by bank & hand over to student)

Challan Challan Challan

Axis Bank IES Group Axis Bank IES Group Axis Bank IES Group

Collection of fee deposit challan through easy pay at any branch of Collection of fee deposit challan through easy pay at any branch of Collection of fee deposit challan through easy pay at any branch of Axis Bank Axis Bank Axis Bank Date of Challan : Date of Challan : Date of Challan : Axis Bank Axis Bank Axis Bank A/c No. :912010013571794 A/c No. : 912010013571794 A/c No. : 912010013571794 A/c Holder Branch Berasia Road,Bhopal A/c Holder Branch Berasia Road,Bhopal A/c Holder Branch Berasia Road,Bhopal Deposit Branch ...... Deposit Branch ...... Deposit Branch ...... Name of Institute…..………………. Name of Institute…………………….. Name of Institute……………………. Name of Student……………………. Name of Student……………………… Name of Student…………………….. Father’s Name………………………. Father’s Name………………………... Father’s Name………………………. Enrolement No………………………. Enrolement No………………………… Enrolement No……………………….. Course Branch Course Branch Course Branch Fee of the year Semester Fee of the year Semester Fee of the year Semester Amount + Rs.20 (Bank Charges) Amount + Rs.20 (Bank Charges) Amount + 20 (Bank Charges) Rupees : Rupees Only Rupees : Rupees Only Rupees : Rupees Only

Signature of Depositor...... Signature of Depositor...... Signature of Depositor......

For Bank Use Only For Bank Use Only For Bank Use Only

Amount + Rs.20 (Bank Charges) Amount + Rs.20 (Bank Charges) Amount + Rs.20 (Bank Charges) Rupees : Rupees only Rupees : Rupees only Rupees : Rupees only

Rs 1000x = Rs 1000x = Rs 1000x =

Rs. 500x = Rs. 500x = Rs. 500x =

Rs. 100x = Rs. 100x = Rs. 100x =

Rs. 50x = Rs. 50x = Rs. 50x =

Rs. 20x = Rs. 20x = Rs. 20x =

Rs. 10x = Rs. 10x = Rs. 10x =

Total Rs = Total Rs Total Rs =

Chq/DD No= Chq Date:- Chq/DD No= Chq Date:- Chq/DD No= Chq Date:-

Bank/Branch Bank/Branch Bank/Branch

Bank Seal/Signature Bank Seal/Signature Bank Seal/Signature