Vous êtes sur la page 1sur 1

XLRI's Copy XLRI Pay-in-slip 2010

Date of Registration:05/11/2009
Axis Bank
Branch code & name : 12 XAT ID : 621936
JAMSHEDPUR
XLRI Pay-in-slip No : 1262193612
Please credit to : XLRI-Sale of Prospectus A/c
(Current A/c No 340010200008303)

Full Name of applicant NITESH KUMAR


Address of applicant AWADHESH KUMAR SINHA, G-207, TAYO COLONY, GAMHARIA
JAMSHEDPUR - 832108 . Jharkhand - India
Phone/Mobile Number 06576543752/9608131371
Denominations of notes Rs. 1500.00 for General Applicant Depositor's signature................
1000 X Programme(s) opted is(are)
Received the above amount on............2009
500 X Business Management Programme
Issued XLRI Prospectus 2010 No.............
100 X Personnel Management and Industrial Relations Programme
50 X Cashier's Signature..................
Bank SEAL
Attach this copy in space provided on the reverse of the detachable form given in the XLRI Prospectus 2010 and send it to Admissions Office,XLRI
----------------------------------------------------------------------------------------------------------FOLD HERE---------------------------------------------------------------------------------------------------------

Candidate's Copy XLRI Pay-in-slip 2010


Date of Registration:05/11/2009
Axis Bank
Branch code & name : 12 XAT ID : 621936
JAMSHEDPUR
XLRI Pay-in-slip No : 1262193612
Please credit to : XLRI-Sale of Prospectus A/c
(Current A/c No 340010200008303)

Full Name of applicant NITESH KUMAR


Address of applicant AWADHESH KUMAR SINHA, G-207, TAYO COLONY, GAMHARIA
JAMSHEDPUR - 832108 . Jharkhand - India
Phone/Mobile Number 06576543752/9608131371
Denominations of notes Rs. 1500.00 for General Applicant Depositor's signature................
1000 X Programme(s) opted is(are)
Received the above amount on............2009
500 X Business Management Programme
Issued XLRI Prospectus 2010 No.............
100 X Personnel Management and Industrial Relations Programme
50 X Cashier's Signature..................
Bank SEAL
Note: To be accepted at par by the designated branches of Axis Bank & to be credited to A/C of XLRI-Sale of Prospectus (Sakchi Branch Sol ID 340)
----------------------------------------------------------------------------------------------------------FOLD HERE---------------------------------------------------------------------------------------------------------

Bank's Copy XLRI Pay-in-slip 2010


Date of Registration:05/11/2009
Axis Bank
Branch code & name : 12 XAT ID : 621936
JAMSHEDPUR
XLRI Pay-in-slip No : 1262193612
Please credit to : XLRI-Sale of Prospectus A/c
(Current A/c No 340010200008303)

Full Name of applicant NITESH KUMAR


Address of applicant AWADHESH KUMAR SINHA, G-207, TAYO COLONY, GAMHARIA
JAMSHEDPUR - 832108 . Jharkhand - India
Phone/Mobile Number 06576543752/9608131371
Denominations of notes Rs. 1500.00 for General Applicant Depositor's signature................
1000 X Programme(s) opted is(are)
Received the above amount on............2009
500 X Business Management Programme
Issued XLRI Prospectus 2010 No.............
100 X Personnel Management and Industrial Relations Programme
50 X Bank Tran ID..................
Cashier's Signature.........................Bank SEAL
Note: To be accepted at par by the designated branches of Axis Bank & to be credited to A/C of XLRI-Sale of Prospectus (Sakchi Branch Sol ID 340)

Page 1

Vous aimerez peut-être aussi