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FEE DEPOSIT-CHALAN FOR ONLINE
JEEP-2011 COUNSELING (ROUND-1,2)

FEE DEPOSIT-CHALAN FOR ONLINE

JEEP-2011 COUNSELING (ROUND-1,2)

FEE DEPOSIT-CHALAN FOR ONLINE

JEEP-2011 COUNSELING (ROUND-1,2)

(Banks Copy)
State Bank of India
Payable at all branches of SBI in India

(Candidates Copy)
State Bank of India
Payable at all branches of SBI in India

(UBTERs Copy)
State Bank of India
Payable at all branches of SBI in India

Round 1(During 11th to 16th July 2011)

Round 2(During 1st to 5th August 2011)

Round 1(During 11th to 16th July 2011)

Round 2(During 1st to 5th August 2011)

Round 1(During 11th to 16th July 2011)

Round 2(During 1st to 5th August 2011)

Name of the Branch

Name of the Branch

Name of the Branch

.................................................................

.................................................................

.................................................................

Branch Code No. ....................................

Branch Code No. ....................................

Branch Code No. ....................................

Beneficiary : Secretary, UBTER

Beneficiary : Secretary, UBTER

Beneficiary : Secretary, UBTER

Beneficiary A/c

: 31274310872

Beneficiary A/c

: 31274310872

Beneficiary A/c

: 31274310872

Beneficiary Branch:

Beneficiary Branch:

Beneficiary Branch:

Sachivalaya, Dehradun (10164)

Sachivalaya, Dehradun (10164)

Sachivalaya, Dehradun (10164)

Counseling Fee

Rs 500/-

Counseling Fee

Rs 500/-

Counseling Fee

Rs 500/-

Bank Commission:

Rs. 50/-

Bank Commission:

Rs. 50/-

Bank Commission:

Rs. 50/-

Total fee payable

Rs. 550/-

Total fee payable

Rs. 550/-

Total fee payable

Rs. 550/-

Bank Transaction Id No.

Bank Transaction Id No.

Bank Transaction Id No.

(9 digit to be filled by the branch only)

(9 digit to be filled by the branch only)

(9 digit to be filled by the branch only)

Particulars of Candidate

Particulars of Candidate

Particulars of Candidate

Roll

Roll

Roll

No.

No.

No.

Name : ......................................................................

Name : ......................................................................

Name : ......................................................................

Father Name .............................................................

Father Name .............................................................

Father Name .............................................................

Mobile No. ...............................................................

Mobile No. ...............................................................

Mobile No. ...............................................................

Depositor Sign : .......................................................

Depositor Sign : .......................................................

Depositor Sign : .......................................................

Cashier Sign : ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Cashier Sign : ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Cashier Sign : ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

(with Bank Stamp)

(with Bank Stamp)

(with Bank Stamp)

Important: Candidate must ensure that full 9

digit Transaction-ID is filled-in properly by the
Bank

Important: Candidate has to bring this slip at the

time of taking admissions in Allotted Institutes.

Care: Roll No. of Candidate to be filled-in

correctly in the Computer System by the branch
official in Registration-ID/Ref-No. field