S.B.T.E. Jharkhand /                                                 S.B.T.E. Jharkhand /                                                  S.B.T.E.
Jharkhand /
                 Jharkhand University of                                              Jharkhand University of                                               Jharkhand University of
                   Technology, Ranchi                                                   Technology, Ranchi                                                    Technology, Ranchi
                        BANK'S COPY                                                          BOARD'S COPY                                                     CANDIDATE'S COPY
           Challan for Polytechnic Exam / Registration                          Challan for Polytechnic Exam / Registration                           Challan for Polytechnic Exam / Registration
          It must be deposited in United Bank of India                         It must be deposited in United Bank of India                          It must be deposited in United Bank of India
Name of A/C         :   Jharkhand      University               of   Name of A/C         :   Jharkhand      University               of    Name of A/C         :   Jharkhand      University               of
                        Technology, Ranchi                                                   Technology, Ranchi                                                    Technology, Ranchi
A/c No.             :   1842050000532                                A/c No.             :   1842050000532                                 A/c No.             :   1842050000532
IFSC No.            :   UTBI0SCTQ03                                  IFSC No.            :   UTBI0SCTQ03                                   IFSC No.            :   UTBI0SCTQ03
TICK [] WHICH IS APPLICABLE:                                        TICK [] WHICH IS APPLICABLE:                                         TICK [] WHICH IS APPLICABLE:
Amount of fees :                                                     Amount of fees :                                                      Amount of fees :
Examination Fee (VI Sem)               :   Rs 1500/-     [      ]    Examination Fee (VI Sem)               :   Rs 1500/-     [      ]     Examination Fee (VI Sem)               :   Rs 1500/-     [      ]
Examination Fee (I toV Sem)            :   Rs 1000/-     [      ]    Examination Fee (I toV Sem)            :   Rs 1000/-     [      ]     Examination Fee (I toV Sem)            :   Rs 1000/-     [      ]
Registration Fee                       :   Rs 350/-      [      ]    Registration Fee                       :   Rs 350/-      [      ]     Registration Fee                       :   Rs 350/-      [      ]
Examination Fee for ONE Paper          :   Rs 500/-      [      ]    Examination Fee for ONE Paper          :   Rs 500/-      [      ]     Examination Fee for ONE Paper          :   Rs 500/-      [      ]
Examination Fee for TWO Paper          :   Rs 750/-      [      ]    Examination Fee for TWO Paper          :   Rs 750/-      [      ]     Examination Fee for TWO Paper          :   Rs 750/-      [      ]
Late fine (After due date)             :   Rs 200/-      [      ]    Late fine (After due date)             :   Rs 200/-      [      ]     Late fine (After due date)             :   Rs 200/-      [      ]
Others                                 :   Rs………..       [      ]    Others                                 :   Rs………..       [      ]     Others                                 :   Rs………..       [      ]
TOTAL AMOUNT                           :                             TOTAL AMOUNT                           :                              TOTAL AMOUNT                           :
Amount in words: ……………………………………………...                                 Amount in words: ……………………………………………...                                Amount in words: ……………………………………………...
Examination / Registration : ________________________                Examination / Registration : ________________________                 Examination / Registration : ________________________
Registration No. : _________________________________                 Registration No. : _________________________________                  Registration No. : _________________________________
Student's Name : _________________________________                   Student's Name : _________________________________                    Student's Name : _________________________________
Date of Birth : ____________________________________                 Date of Birth : ____________________________________                  Date of Birth : ____________________________________
Aadhar No. : ____________________________________                    Aadhar No. : ____________________________________                     Aadhar No. : ____________________________________
Mobile No. : _____________________________________                   Mobile No. : _____________________________________                    Mobile No. : _____________________________________
Transaction ID -        AA : _________________________               Transaction ID -         AA : _________________________               Transaction ID -        AA : _________________________
In NFFT / RTGS,UTR No. : _________________________                   In NFFT / RTGS,UTR No. : _________________________                    In NFFT / RTGS,UTR No. : _________________________
Deposit Date : ________/_______ / ________                           Deposit Date : ________/_______ / ________                            Deposit Date : ________/_______ / ________
Candidate’s              Institute Auth.      Receiving Sign.
                                                                     Candidate’s              Institute Auth.      Receiving Sign.         Candidate’s              Institute Auth.      Receiving Sign.
                                                                     Signature                   Signature             & Seal              Signature                   Signature             & Seal
Signature                   Signature             & Seal
Instruction for Student: Submit the requisite fee and collect        Instruction for Student: Submit the requisite fee and collect        Instruction for Student: Submit the requisite fee and collect
Board's & Candidate's Copy from Bank. Attach the Board's Copy        Board's & Candidate's Copy from Bank. Attach the Board's Copy        Board's & Candidate's Copy from Bank. Attach the Board's Copy
with the Application Form.                                           with the Application Form.                                           with the Application Form.