UTTARAKHAND AYURVED UNIVERSITY
(An autonomous body of Uttarakhand G overnment)
DEPOSIT FEE IN ANY BANK OF BARODA BRANCH
Candidate Copy
A/c No. 52750100001234
IFS C : BARB0HARRAW
Bank of Baroda, Harrawala Branch
Online Bank Challan No……….
Payment before 25th April, 2015
Bank of Baroda, Harrawala, Dehradun
Credit to : Uttarakhand Ayurved University
Entrance Exam A/c No. 52750100001234
Candidate Application Form No. ……………….
Candidate Name ………………………………..
Father's Name …………………………………
Category : GEN/OBC/SC/ST/PH
Address & Tele No.…………………………….
………………………………………………….
………………………………………………….
Email ID……………………………………….
Course Applied For …………………………….
CMC Code
Deposit Date
Online Bank Challan No.
Transaction ID.
Student Name
Father's Name
Mobile No.
Course
Entrance Examination Fee
Total Amount Paid
UAU
Total Amount in Words …………………..
........................................
Bank S eal & S ignature
UTTARAKHAND AYURVED UNIVERSITY
UTTARAKHAND AYURVED UNIVERSITY
(An autonomous body of Uttarakhand G overnment)
(An autonomous body of Uttarakhand G overnment)
DEPOSIT FEE IN ANY BANK OF BARODA BRANCH
Enclose with
Form Copy
A/c No. 52750100001234
IFS C : BARB0HARRAW
Bank of Baroda, Harrawala Branch
Online Bank Challan No……….
DEPOSIT FEE IN ANY BANK OF BARODA BRANCH
University Copy
A/c No. 52750100001234
IFS C : BARB0HARRAW
Bank of Baroda, Harrawala Branch
Online Bank Challan No……….
Payment before 25th April, 2015
Bank of Baroda, Harrawala, Dehradun
Credit to : Uttarakhand Ayurved University
Entrance Exam A/c No. 52750100001234
Payment before 25th April, 2015
Bank of Baroda, Harrawala, Dehradun
Credit to : Uttarakhand Ayurved University
Entrance Exam A/c No. 52750100001234
Candidate Application Form No. ……………….
Candidate Name ………………………………..
Father's Name …………………………………
Category : GEN/OBC/SC/ST/PH
Address & Tele No…………………………….
………………………………………………….
………………………………………………….
Email ID ……………………………………….
Course Applied For …………………………….
Candidate Application Form No. ……………….
Candidate Name ………………………………..
Father's Name …………………………………
Category : GEN/OBC/SC/ST/PH
Address & Tele No…………………………….
………………………………………………….
………………………………………………….
Email ID ……………………………………….
Course Applied For …………………………….
CMC Code
Deposit Date
Online Bank Challan No.
Transaction ID.
Student Name
Father's Name
Mobile No.
Course
Entrance Examination Fee
Total Amount Paid
CMC Code
Deposit Date
Online Bank Challan No.
Transaction ID.
Student Name
Father's Name
Mobile No.
Course
Entrance Examination Fee
Total Amount Paid
UAU
UAU
UTTARAKHAND AYURVED UNIVERSITY
(An autonomous body of Uttarakhand G overnment)
DEPOSIT FEE IN ANY BANK OF BARODA BRANCH
Bank Copy
A/c No. 52750100001234
IFS C : BARB0HARRAW
Bank of Baroda, Harrawala Branch
Online Bank Challan No……….
Payment before 25th April, 2015
Bank of Baroda, Harrawala, Dehradun
Credit to : Uttarakhand Ayurved University
Entrance Exam A/c No. 52750100001234
Candidate Application Form No. ……………….
Candidate Name ………………………………..
Father's Name …………………………………
Category : GEN/OBC/SC/ST/PH
Address & Tele No…………………………….
………………………………………………….
………………………………………………….
Email ID ……………………………………….
Course Applied For …………………………….
CMC Code
Deposit Date
Online Bank Challan No.
Transaction ID.
Student Name
Father's Name
Mobile No.
Course
Entrance Examination Fee
Total Amount Paid
UAU
Total Amount in Words …………………..
........................................
Total Amount in Words …………………..
........................................
Total Amount in Words …………………..
........................................
Bank S eal & S ignature
Bank S eal & S ignature
Bank S eal & S ignature
UNIVERSITY COPY TO BE SENT TO BANK OF
BARODA, HARRAWALA BRANCH
UNIVERSITY COPY TO BE SENT TO BANK OF
BARODA, HARRAWALA BRANCH
ENCLOSE WITH ONLINE APPLICATION FORM