AMITY UNIVERSITY ADMISSION ACADEMIC FEES PAY - IN SLIP

Axis Bank Copy

Through Easy Pay
Bank Account No : 007010100685443
Form No : 1101250 Date : ___/___/_____
Name of
the : Mr Tarun Singh Rawat
Student
Program : MBA - International Business
Admission
: 2010
Year
Due Date : Mar 26 2010

100 Mode of Payment : DD / Cash

X
0
500X : _________________ dt ___ /___ /_____ Amount : Rs.
DD No
100X _____________
50X :
20X Amount ( in words)
__________________________________________________________
10X
:________________________ Branch :
5X Bank
___________________________

For Bank use Only :

Transaction Number: ____________________dt : ___ / ___ /
[ Bank Seal ]
_____

Signature of Depositor

AMITY UNIVERSITY ADMISSION ACADEMIC FEES PAY - IN SLIP

Student Copy
Bank Account No : 007010100685443
Form No : 1101250 Date : ___/___/_____
Name of
the : Mr Tarun Singh Rawat
Student
Program : MBA - International Business
Admission
: 2010
Year
Due Date : Mar 26 2010

100 Mode of Payment : DD / Cash

X
0
 500X : _________________ dt ___ /___ /_____ Amount : Rs.
100X DD No
_____________
50X
20X :
Amount ( in words)
10X __________________________________________________________
5X :________________________ Branch :
Bank
___________________________

For Bank use Only :

Transaction Number: ____________________dt : ___ / ___ /
[ Bank Seal ]
_____

Signature of Depositor
1. PAN Number of the depositor is required in case of cash deposit exceeding Rs.
50,000/-.
2. The DD should be drawn in favor of 'Amity University Uttar Pradesh A/c Form
No._____'
3. Only drafts payable in local clearing are acceptable.
4. Important Note: Do not drop the payment in drop box. Pay at Axis Bank counters only.