Form Copy Institution Copy Bank's Copy Student/Applicant Copy

Deccan Education Society's Deccan Education Society's Deccan Education Society's Deccan Education Society's
WILLINGDON COLLEGE, SANGLI. WILLINGDON COLLEGE, SANGLI. WILLINGDON COLLEGE, SANGLI. WILLINGDON COLLEGE, SANGLI.

2019-2020 2019-2020 2019-2020 2019-2020

Bank Name : ********
FCEA4M7O FCEA4M7O FCEA4M7O
Account to be : ****************
Bank Name : ******** Bank Name : ******** credited Bank Name : ********
Account to be : * * * * * * * * * * * * * * * * Account to be : * * * * * * * * * * * * * * * * Account to be : * * * * * * * * * * * * * * * *
credited credited 1. Category : OPEN ( MAHARASHTRA credited
STUDENT )
1. GST Number : : - - - - - - - - - - 1. GST Number : : - - - - - - - - - - 2. Name : MANALI RAJARAM PHADTARE 1. GST Number : : - - - - - - - - - -
2. Name : MANALI RAJARAM PHADTARE 2. Name : MANALI RAJARAM PHADTARE 2. Name : MANALI RAJARAM PHADTARE
3. Class : TY 4. Division :
3. Class : TY 4. Division : 3. Class : TY 4. Division : BSC(Physic 3. Class : TY 4. Division :
BSC(Physic BSC(Physic s) BSC(Physic
s) s) 5. Roll No. : SYBSC-215 s)
5. Roll No. : SYBSC-215 5. Roll No. : SYBSC-215 6. Email . : 5. Roll No. : SYBSC-215
raphadtare7411@gmail.com
6. Email . : raphadtare7411@gmail.com 6. Email . : raphadtare7411@gmail.com 7. Mobile No. : 6. Email . : raphadtare7411@gmail.com
9860925074
7. Mobile No. : 9860925074 7. Mobile No. : 9860925074 8. Course/ : 7. Mobile No. : 9860925074
BSc(Physics) 2017 - 2020
8. Course/ : BSc(Physics) 2017 - 2020 8. Course/ : BSc(Physics) 2017 - 2020 Academic Year 8. Course/ : BSc(Physics) 2017 - 2020
Academic Year Academic Year 9. Amount : Academic Year
Rs. 2125.00 ONLY
Sr. Fees Actual Paid Sr. Fees Actual Paid Sr. Fees Actual Paid
No. Amount No. Amount 10. Amount in : Rs. TWO THOUSAND ONE No. Amount
words HUNDRED TWENTY FIVE ONLY
1 Admission Fee 10 1 Admission Fee 10 1 Admission Fee 10
11. Cash Details
2 Tuition Fee 800 2 Tuition Fee 800 2 Tuition Fee 800
Denomination Amount
3 Development Fund 50 3 Development Fund 50 3 Development Fund 50
2000 X
4 Extra Curricular Fee 25 4 Extra Curricular Fee 25 4 Extra Curricular Fee 25
500 X
5 Gymkhana Fee 80 5 Gymkhana Fee 80 5 Gymkhana Fee 80
200 X
6 Identity Card 50 6 Identity Card 50 6 Identity Card 50
100 X
7 Laboratory Fee 125 7 Laboratory Fee 125 7 Laboratory Fee 125
50 X
8 Library Fee 50 8 Library Fee 50 8 Library Fee 50
20 X
9 Magazine Fee 50 9 Magazine Fee 50 9 Magazine Fee 50
10 X
10 S A Fund 10 10 S A Fund 10 10 S A Fund 10
Total
11 Library Card Fee 5 11 Library Card Fee 5 11 Library Card Fee 5
12 University Fee 255 12 University Fee 255 12 University Fee 255
12.Depositor
13 Co Curricular Activity Fee 150 13 Co Curricular Activity Fee 150 Contact No. 13 Co Curricular Activity Fee 150
14 College Examination Fee 225 14 College Examination Fee 225 Transaction ID 14 College Examination Fee 225
15 Erp Fee 240 15 Erp Fee 240 (Mandatorily filled 15 Erp Fee 240
by Bank Officials)
9. Amount : Rs. 2125.00 ONLY 9. Amount : Rs. 2125.00 ONLY 9. Amount : Rs. 2125.00 ONLY
Cheque / Payorder Drawn On
10. Amount in : Rs. TWO THOUSAND ONE 10. Amount in : Rs. TWO THOUSAND ONE / DD No. Bank 10. Amount in : Rs. TWO THOUSAND ONE
words HUNDRED TWENTY FIVE ONLY words HUNDRED TWENTY FIVE ONLY Payable At words HUNDRED TWENTY FIVE ONLY
Branch:

Signature/ Stamp of Bank Signature of Depositor Signature/ Stamp of Bank Signature of Depositor Signature/ Stamp of Bank Signature of Depositor
Signature/ Stamp Signature of Depositor
Checked By : --------------- Checked By : --------------- of Bank Checked By : ---------------
Checked By : ---------------
* Must be drawn payable at the center of deposit of the
instrument i.e.outstation instruments not acceptable