Please Provide Your Details
NAME OF PARTY/CUSTOMER/VENDOR/REMITTER/STAFF
*
:
ADDRESS WITH PIN
*
:
CONTACT/MOBILE NUMBER
*
:
EMAIL ID
*
:
PURPOSE OF PAYMENT
*
:
--Please Select--
Tender Cost
EMD
Security Deposit/Performance Section
Guest House Rent
Auditorium/Other Institute facility rent
Registration Fee
Examination Fee/Application fee
Lab Testing Fee
Sale of Publication
Consultancy Fee
Purchase of Institute commercial product
Purchase of Unserviceable item/Auction
Purchase of Firm produce
Unspent amount of Advance
Purchase of planting materials
Others (Specify)
DETAILS OF PAYMENT:
REFERENCE /SANCTION ORDER NUMBER:
AMOUNT OF ADVANCE DRAWN CONTINGENCY/TA:
REMARK:
Transaction Amount: