Indian Bank, Indian Bank, Indian Bank,

Nallambakkam, Chennai
BANK COPY Nallambakkam, Chennai
UNIVERSITY COPY Nallambakkam, Chennai
STUDENT COPY
IFSC Code : IDIB000N056 / MICR Code : 600019111 IFSC Code : IDIB000N056 / MICR Code : 600019111 IFSC Code : IDIB000N056 / MICR Code : 600019111
TAMIL NADU PHYSICAL EDUCATION AND TAMIL NADU PHYSICAL EDUCATION AND TAMIL NADU PHYSICAL EDUCATION AND
SPORTS UNIVERSITY, CHENNAI 600 127 SPORTS UNIVERSITY, CHENNAI 600 127 SPORTS UNIVERSITY, CHENNAI 600 127
SCHOOL OF DISTANCE EDUCATION SCHOOL OF DISTANCE EDUCATION SCHOOL OF DISTANCE EDUCATION
TUITION FEE CHALLAN TUITION FEE CHALLAN TUITION FEE CHALLAN

PAN NO-AAAGT0207K Date:____/____/_______ PAN NO-AAAGT0207K Date:____/____/_______ PAN NO-AAAGT0207K Date:____/____/_______

SDE BANK ACCOUNT No. : 744881356 SDE BANK ACCOUNT No. : 744881356 SDE BANK ACCOUNT No. : 744881356
Name of the Student Name of the Student Name of the Student

Register / Enroll No. Register / Enroll No. Register / Enroll No.

Name of the Study Name of the Study Name of the Study
Centre: Centre: Centre:
Name of the Course Name of the Course Name of the Course
and Code : and Code : and Code :
Mobile No. /Phone No. Mobile No. /Phone No. Mobile No. /Phone No.
with Code : with Code : with Code :
First Year Second Year Third Year First Year Second Year Third Year First Year Second Year Third Year
Year of Study Year of Study Year of Study

Fee Code Particulars Rs. Fee Code Particulars Rs. Fee Code Particulars Rs.
Admission Fee Admission Fee Admission Fee
Tuition Fee Tuition Fee Tuition Fee
A A A i).MBA / [Link]., / [Link]., / PGD_____/ DP_____/ Cert.
i).MBA / [Link]., / [Link]., / PGD_____/ DP_____/ Cert. i).MBA / [Link]., / [Link]., / PGD_____/ DP_____/ Cert.
_____

B Sale of Application Fees B Sale of Application Fees B Sale of Application Fees

Course Completion Certificate / Bonafide Course Completion Certificate / Bonafide Course Completion Certificate / Bonafide
C C C
Certificate Fee Certificate Fee Certificate Fee
D Change of Address / Centre / Course Fee D Change of Address / Centre / Course Fee D Change of Address / Centre / Course Fee
E Duplicate ID Card E Duplicate ID Card E Duplicate ID Card
F Sale of Study Material (Per Material Each Rs.150) F Sale of Study Material (Per Material Each Rs.150) F Sale of Study Material (Per Material Each Rs.150)
G Other Fee (Late Fee / Penalty / etc…) G Other Fee (Late Fee / Penalty / etc…) G Other Fee (Late Fee / Penalty / etc…)
Total Amount Remitted Total Amount Remitted Total Amount Remitted
Rupees(`……….......................................................................................... Rupees(`……….......................................................................................... Rupees(`………..........................................................................................
…………….........................................................................................) …………….........................................................................................) …………….........................................................................................)

Signature of the Candidate / Remitter Signature of the Candidate / Remitter Signature of the Candidate / Remitter
For Bank Use For Bank Use For Bank Use
Journal No. Journal No. Journal No.

Bank Seal / Date: Bank Seal / Date: Bank Seal / Date:

Authorized Signatory Authorized Signatory Authorized Signatory
Note : Separate Challan should be used for each type of payment Note : Separate Challan should be used for each type of payment Note : Separate Challan should be used for each type of payment