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Depositor Copy Branch Copy

Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch Pre Acknowledgement Payment(PAP) Form for Payment through any SBI Branch

Date: 13-07-2019 Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect
Date: 13-07-2019
Beneficiary/Remittance Details
Beneficiary/Remittance Details
State Bank Collect Reference No. DUB6462153
State Bank Collect Reference No. DUB6462153
Beneficiary: DIRECTOR- MANIT
Beneficiary: DIRECTOR- MANIT
Category: B.Arch/B.Plan Hostller
Category: B.Arch/B.Plan Hostller
Last Date of Payment: 30-06-2025 23:45
Last Date of Payment: 30-06-2025 23:45
Remitter Sunidhi Verma
Remitter Sunidhi Verma
Rs
Collection Amount 86,100.00 Rs
Comission 59.00 Collection Amount 86,100.00
Total (Rupees Eighty Six Thousand One Hundred Fifty Nine Only) 86,159.00 Comission 59.00
Total (Rupees Eighty Six Thousand One Hundred Fifty Nine Only) 86,159.00
Details of Cash / Cheques Rs p Mode of Payment (Choose Either Cash / Cheque)

Cash PAN:

Please quote your PAN for Cash remittance >= Rs. 50,000
Total Rs
Amount
Instructions for Depositor: This is not an e-receipt. After payment , please visit www.onlinesbi.com > 'State Bank Cash Notes Rs P
Collect' and click on the hyperlink at the bottom of the page to generate the e-receipt. *2000
*500
(To be Filled in by the Bank)
*200
Journal No: DUB6462153 *100
*50
*20
Branch Name: *10

Branch Code: Deposit Date:


Coins
Total Rs
Branch Stamp
Cheque
Cheque No: Cheque Date:
Authorised Signatory
Drawee Bank: State Bank of India (other bank cheques not accepted under PAP)
Branch:

Signature of the Depositor

Space for Bank use


Branch Stamp

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