Applicant Copy

Test Centre Copy

Bank Copy

Council of Architecture

Council of Architecture

Council of Architecture

PAN No. of Institution

A A A T C 3 6 1 6 N

Name of Branch:

PAN No. of Institution

Name of Branch:

Date of Deposit:

D D / M M / Y Y

(to be treated by Applicant as fee receipt)

Account to be credited

A A A T C 3 6 1 6 N

Date of Deposit:
D D / M M / Y Y

(to be treated by Applicant as fee receipt)

0 0 3 6 S L F E E C O L

PAN No. of Institution

Name of Branch:

Date of Deposit:
D D / M M / Y Y

Account to be credited

A A A T C 3 6 1 6 N

0 0 3 6 S L F E E C O L

(to be treated by Applicant as fee receipt)

Account to be credited

0 0 3 6 S L F E E C O L

1. Institution Name/Code P C N A T A

1. Institution Name/Code P C N A T A

1. Institution Name/Code P C N A T A

2. Student/
Applicant Name

2. Student/
Applicant Name

2. Student/
Applicant Name

3. Roll no/ Brochure Bar

Code No.

3. Roll no/ Brochure Bar

Code No.

3. Roll no/ Brochure Bar

Code No.

4. Class/Region Code

N. A.

4. Class/Region Code

N. A.

4. Class/Region Code

N. A.

5. Section/Course Applied

N. A.

5. Section/Course Applied

N. A.

5. Section/Course Applied

N. A.

6. Amount in Fig
7. Amount in words

1000/-

6. Amount in Fig

Rs.one thousand only

7. Amount in words

1000/-

6. Amount in Fig

Rs.one thousand only

7. Amount in words

8. Cash Details:

8. Cash Details:

8. Cash Details:

Denomination

Denomination

Denomination

Branch Transaction ID:

Branch Transaction ID:

Branch Transaction ID:

Depositor Mobile no.

Depositor Mobile no.

Depositor Mobile no.

Signature/ Stamp
ICICI Bank Ltd
Only cash shall be accepted by branch.

Signature of Depositor

Signature/ Stamp
ICICI Bank Ltd
Only cash shall be accepted by branch.

Signature of Depositor

1000/Rs.one thousand only

Signature/ Stamp
ICICI Bank Ltd
Only cash shall be accepted by branch.

Signature of Depositor