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Payment Receipt

The document is a receipt for an online payment of examination fees made by Rasham Pokhrel to Gauhati University. It provides details of the student including name, father's name, mother's name, degree program, payment amount of 1310 INR, transaction ID, payment date and time. The student declares that the payment was made for examination fees and the receipt is valid, otherwise the examination form may get rejected. The note at the bottom asks the student to submit the office copy of the receipt to the university and keep the student copy.

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DIPAK ADHIKARI
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504 views2 pages

Payment Receipt

The document is a receipt for an online payment of examination fees made by Rasham Pokhrel to Gauhati University. It provides details of the student including name, father's name, mother's name, degree program, payment amount of 1310 INR, transaction ID, payment date and time. The student declares that the payment was made for examination fees and the receipt is valid, otherwise the examination form may get rejected. The note at the bottom asks the student to submit the office copy of the receipt to the university and keep the student copy.

Uploaded by

DIPAK ADHIKARI
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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College Copy

GAUHATI UNIVERSITY

Examination Form
Online Payment Receipt
Submitted Date:14/11/2019 Last Date :15/11/2019 Print Date & Time :14/11/2019 07:09:01

Form No. : 10001157417

Name : RASHAM POKHREL

Father's Name : TANKA PRASAD POKHREL

Mother's Name : PUSPA LATA POKHREL

Degree : BA LLB(Hons) Vth Sem

Category : TRADITIONAL

Paid Amount : 1310.00

Transaction ID / Demand Draft No. : EF_191114070250_673297

Payment Date : 14/11/2019 07:02:50

Mobile No. : 9854759593

I RASHAM POKHREL hereby declare that I have made online payment for the online Examination fees, for
which details are mentioned above. If at any point of time it is found that the receipt is fake or amount is not
credited in University Account my Examination form will be rejected.

Date : 14/11/2019 Signature


Note : Please submit the E-Payment receipt's office copy to the single window in central office and keep the
student copy with yourself
Student Copy
GAUHATI UNIVERSITY

Examination Form
Online Payment Receipt
Submitted Date:14/11/2019 Last Date :15/11/2019 Print Date & Time :14/11/2019 07:09:01

Form No. : 10001157417

Name : RASHAM POKHREL

Father's Name : TANKA PRASAD POKHREL

Mother's Name : PUSPA LATA POKHREL

Degree : BA LLB(Hons) Vth Sem

Category : TRADITIONAL

Paid Amount : 1310.00

Transaction ID / Demand Draft No. : EF_191114070250_673297

Payment Date : 14/11/2019 07:02:50

Mobile No. : 9854759593

I RASHAM POKHREL hereby declare that I have made online payment for the online Examination fees, for
which details are mentioned above. If at any point of time it is found that the receipt is fake or amount is not
credited in University Account my Examination form will be rejected.

Date : 14/11/2019 Signature


Note : Please submit the E-Payment receipt's office copy to the single window in central office and keep the
student copy with yourself

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