Receipt

Name of the Institute/Organisation___________________________________________________________

Name of the Student______________________________________________________________________
Residential address(with postal code): ________________________________________________________
_______________________________________________________________________________________
Course Fee:________ Rebate:______ Payable Fee:________ Reference:_____________________________
Date

Deposited(Rs.)

Balance(Rs.)

Mode

Signature

1st Installment
2ndInstallment
3rdInstallment
4thInstallment
5thInstallment
6thInstallment
Total(Rs.)
Signature of the student:

Signature of the fee collector:

___________________

________________________

Receipt
Name of the Institute/Organisation___________________________________________________________
Name of the Student______________________________________________________________________
Residential address(with postal code): ________________________________________________________
_______________________________________________________________________________________
Course Fee:________ Rebate:______ Payable Fee:________ Reference:_____________________________
Date

Deposited(Rs.)

Balance(Rs.)

Mode

Signature

st

1 Installment
2ndInstallment
3rdInstallment
4thInstallment
5thInstallment
6thInstallment
Total(Rs.)
Signature of the student:

Signature of the fee collector:

___________________

________________________