BANK COPY

HKE Societys
COLLEGE COPY DEPOSITOR COPY DUPLICATE COPY
HKE Societys HKE Societys HKE Societys
PDA College Of Engineering
A/c No. 8683101002850 EXAM PDA College Of Engineering PDA College Of Engineering PDA College Of Engineering
A/c No. 8683101002850 EXAM A/c No. 8683101002850 EXAM A/c No. 8683101002850 EXAM
E67627/2019-
No: Date : 10-12-2019 E67627/2019- E67627/2019- E67627/2019-
2020 No: Date : 10-12-2019 No: Date : 10-12-2019 No: Date : 10-12-2019
2020 2020 2020

CANARA BANK
PDA COLLEGE BRANCH KALABURGI
CANARA BANK CANARA BANK CANARA BANK
PDA COLLEGE BRANCH KALABURGI PDA COLLEGE BRANCH KALABURGI PDA COLLEGE BRANCH KALABURGI

Name: MD GHOUSE
Father Name: BABU MIYAN Name: MD GHOUSE Name: MD GHOUSE Name: MD GHOUSE
USN: 3PD19CV408 Father Name: BABU MIYAN Father Name: BABU MIYAN Father Name: BABU MIYAN
USN: 3PD19CV408 USN: 3PD19CV408 USN: 3PD19CV408
Class:                                        Civil 2nd Year
Class:                                        Civil 2nd Year Class:                                        Civil 2nd Year Class:                                        Civil 2nd Year

Sl Purpose of
Rs.Ps Sl Purpose of Sl Purpose of Sl Purpose of
No Remittance Rs.Ps Rs.Ps Rs.Ps
No Remittance No Remittance No Remittance
1 Exam Fees 1,500.00
1 Exam Fees 1,500.00      1 Exam Fees 1,500.00      1 Exam Fees 1,500.00
Total 1,500.00     
Total 1,500.00 Total 1,500.00 Total 1,500.00

Rupees(in words): One Thousand, Five

Hundred only Rupees(in words): One Thousand, Five Rupees(in words): One Thousand, Five Rupees(in words): One Thousand, Five
Hundred only Hundred only Hundred only

Signature of remmiter
Signature of remmiter Signature of remmiter Signature of remmiter

For Official Use

For Official Use For Official Use For Official Use
Cashier:
Cashier: Cashier: Cashier:
Denomination:
2000x  

500x  

200x  

100x  

50x  

20x  

10x  
Total