1. Bank Copy
StudentName AJAY RAVI
Challan No. 6054033400
Account No. 31921362432
Category OBC Non­Creamy Layer
PartiCular Amount(in.Rs)
Fee (Cash Only) 1000
Bank Fee 25
Total Amount 1025
Rs, One Thousand and Twenty Five Only
Branch Name : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Branch Code No.* : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Journal No.* : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Deposit Date: ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Branch Reciept Stamp Depositor's Signature
Student Copy
StudentName AJAY RAVI
Challan No. 6054033400
Account No. 31921362432
Category OBC Non­Creamy Layer
PartiCular Amount(in.Rs)
Fee (Cash Only) 1000
Bank Fee 25
Total Amount 1025
Rs, One Thousand and Twenty Five Only
Branch Name : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Branch Code No.* : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Journal No.* : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Deposit Date: ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Branch Reciept Stamp Depositor's Signature
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AIIMS Copy
StudentName AJAY RAVI
Challan No. 6054033400
Account No. 31921362432
Category OBC Non­Creamy Layer
PartiCular Amount(in.Rs)
Fee (Cash Only) 1000
Bank Fee 25
Total Amount 1025
Rs, One Thousand and Twenty Five Only
Branch Name : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Branch Code No.* : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Journal No.* : ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Deposit Date: ­­­­­­­­­­­­­­­­­­­­­­­­­­­
Branch Reciept Stamp Depositor's Signature
*Payment receiving branch is advised to write the deposit Journal No. and the Branch Code no. above invariably
NOTE: Bring Challan Form­AIIMS COPY along with Admit Card without which you will not be allowed to appear in the Entrance Examination.