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    Challan

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    dadayo4159

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Challan

    Uploaded by

    dadayo4159
    3 views1 page

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    challan

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    3 views1 page

    Challan

    Uploaded by

    dadayo4159

    Copyright:

    © All Rights Reserved
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    Challan No. For Cash Section Challan No. For Cash Section Challan No.

    For Cash Section

    Date : Date : Date :

    West Bengal Board of Secondary Education West Bengal Board of Secondary Education West Bengal Board of Secondary Education

    School Name School Name School Name


    Address : Address : Address :
    District District District
    Name and Address of Candidate Name and Address of Candidate Name and Address of Candidate

    Regin. No. of Regin. No. of Regin. No. of


    Roll. No. Exam.Year Roll. No. Exam.Year Roll. No. Exam.Year

    Cash/Draft No. Date Cash/Draft No. Date Cash/Draft No. Date


    drawn on bank with Branch drawn on bank with Branch drawn on bank with Branch
    Payment made for Rs. P. Payment made for Rs. P. Payment made for Rs. P.
    1. Submission of fees & application 1. Submission of fees & application 1. Submission of fees & application
    forms for admission to M.P.(S.E.)200 __ forms for admission to M.P.(S.E.)200 __ forms for admission to M.P.(S.E.)200 __
    No. of candidates Total Rates No. of candidates Total Rates No. of candidates Total Rates
    Male Female No. Rs. Male Female No. Rs. Male Female No. Rs.
    Regular/External* Regular/External* Regular/External*
    Unsuccessful Unsuccessful Unsuccessful
    Comp (one sub) Comp (one sub) Comp (one sub)
    Comp (two sub) Comp (two sub) Comp (two sub)
    Comp (three sub) Comp (three sub) Comp (three sub)
    Comp (more than three) Comp (more than three) Comp (more than three)
    Late Fee : Late Fee : Late Fee :
    2. Duplicate : 2. Duplicate : 2. Duplicate :
    (Registration/Admit Card/Certificate/Mark Sheet) (Registration/Admit Card/Certificate/Mark Sheet) (Registration/Admit Card/Certificate/Mark Sheet)
    3. Migration / Correction 3. Migration / Correction 3. Migration / Correction
    4. Others 4. Others 4. Others
    Total (in figure) : Total (in figure) : Total (in figure) :

    Total in words : Total in words : Total in words :


    Cashier Cashier Cashier
    *Includes Test Examination after registration. *Includes Test Examination after registration. *Includes Test Examination after registration.

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