College Copy
Jai Narain Vyas University, Jodhpur
Examination Form - (2024 - 2025)
Online Payment Challan
Submitted Date:09/12/2024 11:03:54 Correction Date :--NA-- Print Date & Time :09/12/2024 11:05:06
Form No. : 12826408
Name : ASHFAK
Father's Name : RAJJAK KHAN
Mother's Name : SHAYRON
Degree : B.C.A. Final Year
Subject : Computer Application
Category : REGULAR
Total Paid Amount : 1800.00
Transaction ID / Demand Draft No. : EF_0004008434
Payment Date : 09/12/2024 11:03:54
Payment Due Date :
Payment Verification Date : 12/9/2024 11:04:46 AM
Mobile No. : 9257154143
I ASHFAK 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 : 09/12/2024 Signature
Note : कृपया E-Payment रसीद की दो कॉपियां print कर एक कॉपी form के साथ सम्बंधित
फैकल्टी में जमा करवाएं एवं दूसरी कॉपी अपने पास रखें।
Student Copy
Jai Narain Vyas University, Jodhpur
Examination Form - (2024 - 2025)
Online Payment Challan
Submitted Date:09/12/2024 11:03:54 Correction Date :--NA-- Print Date & Time :09/12/2024 11:05:06
Form No. : 12826408
Name : ASHFAK
Father's Name : RAJJAK KHAN
Mother's Name : SHAYRON
Degree : B.C.A. Final Year
Subject : Computer Application
Category : REGULAR
Total Paid Amount : 1800.00
Transaction ID / Demand Draft No. : EF_0004008434
Payment Date : 09/12/2024 11:03:54
Payment Due Date :
Payment Verification Date : 12/9/2024 11:04:46 AM
Mobile No. : 9257154143
I ASHFAK 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 : 09/12/2024 Signature
Note : कृपया E-Payment रसीद की दो कॉपियां print कर एक कॉपी form के साथ सम्बंधित
फैकल्टी में जमा करवाएं एवं दूसरी कॉपी अपने पास रखें।
( REGULAR )
ASHFAK
RAJJAK KHAN
B.C.A. Final Year
2024 - 2025
