Payment Mandate Form (For Admissible Fee refund on Cancellation of UG or PG Admission of 2023-24 & 2022-23 )
                                                                
The information required below must be correctly mentioned and only the Recipient Bank Account number be provided. 

On Online submission, a mail acknowledgement will be received at the mail appearing below.

Duly signed print-out of the Mail has to be submitted within 21.05.2024 (at office during 12 noon to 3 pm. on working days).  

                              

Email *
Full name of the Payee (i.e. applicant)  as per Bank particulars (In block letters) *
Amount of admissible refund as per SCU Notification vide Memo. No. EST/R.O/SCU/042(Notice)/2024/0469   Dated 02.05.2024 *
Address *
Contact No *
E-Mail *
PAN *
Name of Bank and Branch *
Account type *
Required
Bank Account No. (CBS allotted A/c No.) *
Branch IFSC (11 digit) *
Session and Course type (e.g.- a student admitted at UG in 2022 will write UG 2022-25 whereas a PG student admitted in 2023 will write PG 2023-25) *
Name of the Subject
Online Application ID for Admission *
Signature (To sign at Hardcopy printout) *
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy