Hostel

COLLEGE HOSTEL COLLEGE HOSTEL COLLEGE HOSTEL

Bhuj-Mandvi Road, Jakhania Bhuj-Mandvi Road, Jakhania Bhuj-Mandvi Road, Jakhania

Ph : (02834) 275483 Ph : (02834) 275483 Ph : (02834) 275483

Date :________________ Rec. No.:_____________ Date :________________ Rec. No.:_____________ Date :________________ Rec. No.:_____________

GTU Enrollment No.:_______________________________________ GTU Enrollment No.:_______________________________________ GTU Enrollment No.:_______________________________________

Name :___________________________________________________ Name :___________________________________________________ Name :___________________________________________________

Class/Sem.:_____________________ Roll No.:____________ Class/Sem.:_____________________ Roll No.:____________ Class/Sem.:_____________________ Roll No.:____________

Contact No.:_______________________________ Contact No.:_______________________________ Contact No.:_______________________________



Particulars Applicable Final Particulars Applicable Final Particulars Applicable Final

Hostel Fee Boy Hostel Fee Boy Hostel Fee Boy

Girl Girl Girl

Misc. Fee Misc. Fee Misc. Fee

Total Total Total



Received Vide DD No. ____________________________________ Received Vide DD No. ____________________________________ Received Vide DD No. ____________________________________



Dated _____________Drawn On ___________________________ Dated _____________Drawn On ___________________________ Dated _____________Drawn On ___________________________



For Rs. (In Words) _______________________________________ For Rs. (In Words) _______________________________________ For Rs. (In Words) _______________________________________



______________________________________________________ ______________________________________________________ ______________________________________________________



(Account Copy) (Office Copy) (Student Copy)









Receiver's Sign Receiving Seal Receiver's Sign Receiving Seal Receiver's Sign Receiving Seal

Note: DD Should be in the name of "VEERAYATAN" Note: DD Should be in the name of "VEERAYATAN" Note: DD Should be in the name of "VEERAYATAN"

payable at "MANDVI - KUTCH" payable at "MANDVI - KUTCH" payable at "MANDVI - KUTCH"

Please put Name,Class and Con. No. back side of DD. Please put Name,Class and Con. No. back side of DD. Please put Name,Class and Con. No. back side of DD.