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Bank details for fee refund of admission 2021
(This form is only for those who have cancelled admission 2021 through Samarth portal)
* Indicates required question
Form Number (CUJ.......)
*
Your answer
Candidate Name
*
Your answer
Department name
*
Your answer
Programme name
*
Your answer
Admitted through
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CAT/ GATE score
CUCET score
Open round counseling
Other:
Admitted in which round
*
Your answer
Bank name
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Your answer
Bank account holder name
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Your answer
Bank account number
*
Your answer
IFSC code
*
Your answer
Remarks (if any)
Your answer
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