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					                                                              Account NO:              Cash
           The Institution of Engineers, Sri Lanaka Account   0002323113
                     Independent Square Branch                                        Cheque
                                                              Cheque NO:               Amount
                              BOC Branch
                     ……………………………………………                                                Rs        Cts
Date (DD\MM\YY) :                                             Evaluation Fees
Student Reg. NO.                                              Course Fees
Full Name                                                           Stage 1
                                                                    Stage 2
                                                                    Stage 3
                                                                    Stage 4
Address                                                             Stage 5
                                                              Exam Fees
                                                                    Stage 1
                                                                    Stage 2
Contact NO.                                                         Stage 3
                                                                    Stage 4
                                                                    Stage 5
Depositor's Signature                                         Project Fees
                                                                           Report
                                                                         Proposal

                                                                              Total

				
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posted:2/24/2012
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