Note : Payable at any STATE BANK OF INDIA branch Note : Payable at any STATE BANK OF INDIA branch A. Convocation Fees A. Convocation Fees Challan No.: 000287 BANK COPY Challan No.: 000287 STUDENT COPY Reference Pin : GU28731P4825 Reference Pin : GU28731P4825 GOA UNIVERSITY GOA UNIVERSITY State Bank of India - Current A/c 33334658592 State Bank of India - Current A/c 33334658592 Goa University Branch Goa University Branch 1. Name PALYEKAR MAYA 1. Name PALYEKAR MAYA 2. Address MPT, M/14B QUARTERS, NEAR ST. FRANCIS XAVIER CHURCH, 2. Address MPT, M/14B QUARTERS, NEAR ST. FRANCIS XAVIER CHURCH, MORMUGAO- HARBOUR, VASCO-GOA, 403803 MORMUGAO- HARBOUR, VASCO-GOA, 403803 3. Degree Bachelor of Commerce 3. Degree Bachelor of Commerce 4. Subject Shipping Management 4. Subject Shipping Management 5. Month/ Year of Exam April 2013 5. Month/ Year of Exam April 2013 6.Details of the amount credited Amount 6.Details of the amount credited Amount 1. Non Professional Degree/Diploma ( 735/-) 735.00 1. Non Professional Degree/Diploma ( 735/-) 735.00 2. In absentia Postal Charges India ( 160/-) 160.00 2. In absentia Postal Charges India ( 160/-) 160.00 3. Search fee after 5 years 315.00 3. Search fee after 5 years 315.00 Total Convocation Fee 700.00 Total Convocation Fee 700.00 7. Amount in words (Rupees Seven Hundred Only) 7. Amount in words (Rupees Seven Hundred Only) 8. Date 28-09-2021 8. Date 28-09-2021 Signature of the Student/Remitter Signature of the Student/Remitter (For the use of the Bank) (For the use of the Bank) Received the above sum of 700.00 Received the above sum of 700.00 (in words) Seven Hundred (in words) Seven Hundred Date & Seal Of Signature of the Date & Seal Of Signature of the the Bank receiving authority the Bank receiving authority Bank Journal No. : 022296665 Bank Journal No. : 022296665 Note : 1. Bank Charges of 20/- to be paid separately by the Student Note : 1. Bank Charges of 20/- to be paid separately by the Student 2. This is computer generated challan, office counter signature not 2. This is computer generated challan, office counter signature not page 1 of 2 required required Powered by TCPDF (www.tcpdf.org) page 2 of 2.