Form For No Dues
Form For No Dues
Form For No Dues
INSTITUTE OF Form
TECHNOLOGY
BANARAS HINDU UNIVERSITY G-
NO DUES FORM FOR B.Tech./B.Pharm./IDD/IMD FINAL YEAR STUDENTS
(Columnl to s to be
filled by student
Date:
1. Namne
2. Department/School,
For Rupees...
* * ************ **** Caution money refunded through cheque/NEFT/RTGS
*********'**° * * *
Cheque No.....
Dated . ***
******'************** *****
Asst. SO AR DR
Asst. SO AR DR Registrar
STATE BANK OF INDIA, IT-BHU, BRANCHH
Amount to be remitted:Rs.
Bank Charges Nil
Total Amount: Rs.
Remit the amount as per above details, by debiting my/our account for the amount of
remittance plus your charges.
Authorized Signatory
FOR BANK'S USE ONLY
Rupees
Debited Applicant's A/c: Date of Transfer
Remittance No. (UTR):
Authorised Signatory
CONDITIONS OFTRANSFER
1. Remitting Bank shall not be liable for any loss of damage arising or resulting from delay in
transmission delivery or non-delivery of Electronic message or any mistake, omission, or error
in transmission or delivery thereof or in deciphering the message from any cause whatsoever
or from its misinterpretation received or the action of the destination Bank or any act beyond
our control.
. Message received after cut-off time will be sent on the next working day. Current