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Online Payment Receipt For Returning Students (2019-20) : Ref. No. (University Roll No) 2018MCA2020

1. This document is an online payment receipt for Aanchal, a female returning student, for hostel fees of Rs. 19,550 paid on July 29, 2019. 2. It also includes a hostel admission form that Aanchal filled out providing details like her name, department, previous hostel information, and father's details. 3. In the form, Aanchal declares that the information provided is true and acknowledges the hostel rules, and her department head recommends her admission to the hostel.

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Mukul Bajaj
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0% found this document useful (0 votes)
116 views3 pages

Online Payment Receipt For Returning Students (2019-20) : Ref. No. (University Roll No) 2018MCA2020

1. This document is an online payment receipt for Aanchal, a female returning student, for hostel fees of Rs. 19,550 paid on July 29, 2019. 2. It also includes a hostel admission form that Aanchal filled out providing details like her name, department, previous hostel information, and father's details. 3. In the form, Aanchal declares that the information provided is true and acknowledges the hostel rules, and her department head recommends her admission to the hostel.

Uploaded by

Mukul Bajaj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Online Payment Receipt for Returning Students (2019-20)

Ref. No.(University Roll No)   2018MCA2020


Student Name   AANCHAL
Gender   Female
Father Name   Pritpal
Department   UNIVERSITY SCHOOL OF FINANCIAL STUDIES,
GNDU, ASR
Class   B.COM.(HONS) SEM-III

Transaction Details
Account Number.  02881000005991
Hostel Girl's Hostel-II
Room No
Transaction Amount   19550
Transaction Date/Time   7/29/2019 10:12:44 AM
Transaction Ref. No.   108636400381
Bank Reference No.   066003
Bank Merchant ID   Visa
Payment Status   Success
Important Notes :
After Sucessful Fee Submission, Student will go to the office of the allotted hostel with this
receipt, Hostel form, Annexure-I and Annexure-II for the allotement of Hostel Room.
(Printed On : 29/07/2019:10:15:02 AM )
Hostel Admission Form for Returning Students(Session 2019-20)
For office use only.
Hostel
Hostel Girl's Hostel Hostel
    Admission  
Name Hostel-II Roll No Room No
Date
Name of the
1. AANCHAL
Applicant
2. Nationality INDIAN Gender Female
Blood
3. Date of Birth 26/07/2001 B+
Group
University Roll B.COM.(HONS)
4. 2018MCA2020 Class
No. SEM-III
Mobile
5.  Registration No. 2018.BC/A.34 6239707353
No
UNIVERSITY SCHOOL OF FINANCIAL
6.  Department
STUDIES, GNDU, ASR
Are You availing Loan From
  No
Bank
Father's
7a) Pritpal   
Name
c) Address: Father's/Guardian's Address Local Guardian Address
NEAR OLD POST HOUSE NO. 37 GALI NO. 1
Address OFFICE VPO Address BASANT VIHAR
MUKANDPUR CHHEHARTA
City MUKANDPUR City AMRITSAR
Pincode 144507 Pincode 143005
State PUNJAB State PUNJAB
Phone 9815291248 Phone 9872076454

Father's/ Guardian's
d) BUSINESSMAN
Occupation
e) Residence Phone No. 01823-276294
Father's /Guardian's Annual
f) 7,00,000 (In Rs.)
Income
g) Shortest distance 150 (In Kms.)
8. Belong to Schedule Caste/Tribe? No
9. Will you keep your Motorbike/Scooter etc. in the hostel. No
10. Are you suffering from some chronic disease? No
11. Have you resided in the hostel before? Yes
Previous Hostel Name:GH1   Roll No:168    Room No.:310    Block:2
Session:2018-19
Have you ever been punished for misconduct/violating the hostel
12. No
rules/ indiscipline etc.?
DECLARATION
I, AANCHAL hereby declare that the information filled by me in this form is true, correct and complete to the
best of my knowledge and shall hold myself responsible for any false entry. I have read the rules of the Hostel
and have noted and understood that these rules will strictly apply on my admission and stay in the hostel and
shall follow them accordingly. I shall pay the Hostel dues from time to time, as required. I will vacate the
Hostel Room within a week from the last date of examination of current session.

Date:_________________________   Signature of the Applicant


I, recommend that AANCHAL Class B.COM.(HONS) SEM-III be admitted to the University Hostel. He/She has
paid the Departmental fees. The Department takes the responibility of his/her good conduct and payment of
dues/expenses of the hostel. He/she will be issued the Examination Roll No Slip on Production of "No Due Slip"
from the hostel office. It is certified that He/She is not a detained case or with E/F grade in any subject in
current and previous session.

Signature, Head of
Date:_________________________ Department

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