(Applicant Copy)

Cash can be tendered at any branch of ICICI BANK

CBSE (Central Board of Secondary Education) - HCOREFEEApplication No.: C21677Roll No.: 2748192Applicant Name: MAYANK

Contact No.: 9463742909

Amount: Rs. 300/- Only

Signature of Depositor

(To be filled in by bank)Branch Name:

Branch Code:

Transaction ID:

Deposit Date:

Authorised Signatory

Branch Stamp

(Bank Copy)

Cash can be tendered at any branch of ICICI BANK

CBSE (Central Board of Secondary Education) - HCOREFEEApplication No.: C21677Roll No.: 2748192Applicant Name: MAYANK

Contact No.: 9463742909

Amount: Rs. 300/- Only

Signature of Depositor

(To be filled in by bank)Branch Name:

Branch Code:

Transaction ID:

Deposit Date:

Authorised Signatory

Branch Stamp

Instructions for ICICI Bank Branches

1. This is an I Sure Pay Challan & Inst Code/ Account No. not required2. Type "HCOREFEE" in finacle -> Select "CBSE (Central Board of Secondary Education)" ->Enter "Application No.:" -> Click Submit -> Verify Details -> Accept Cash -> Click Submit ->Generate Receipt ->Handover to Depositor.