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STATE BANK OF INDIA STATE BANK OF INDIA STATE BANK OF INDIAPursuit of Excellence
Tripura University Bank Copy Pursuit of ExcellenceTripura University Canidate’s
CopyPursuit of Excellence
Tripura University DDE Copy
TRIPURA UNIVERSITY(A Central University)
DIRECTORATE OF DISTANCE EDUCATIONSURYMANINAGAR
(To be filled by candidate)
Candidate’s Name: _____________________________________
Father’s Name:_________________________________________
Address:______________________________________________
___________________________________Pin________________
Requisite Fee:
+ Bank Charge (Commission): 50/-
(To be filled by the Bank)
SBI Branch Name:____________________________
Branch Code Journal No
Deposit Date
Bank Stamp Authorized Signatory
(Please tick the A
ppropriate Box)
Signature of Candidate
Account No: 32157404236 (Power Jyoti A/C)
Valid upto 15/06/2016
Date Month Year
Requisite Fees for filling up of Forms
Rs. 780/-
TRIPURA UNIVERSITY(A Central University)
DIRECTORATE OF DISTANCE EDUCATIONSURYMANINAGAR
(To be filled by candidate)
Candidate’s Name: _____________________________________
Father’s Name:_________________________________________
Address:______________________________________________
___________________________________Pin________________
Requisite Fee:
+ Bank Charge (Commission): 50/-
(To be filled by the Bank)
SBI Branch Name:____________________________
Branch Code Journal No
Deposit Date
Bank Stamp Authorized Signatory
(Please tick the A
ppropriate Box)
Signature of Candidate
Account No: 32157404236 (Power Jyoti A/C)
Valid upto 15/06/2016
Date Month Year
Requisite Fees for filling up of Forms
Rs. 780/-
TRIPURA UNIVERSITY(A Central University)
DIRECTORATE OF DISTANCE EDUCATIONSURYMANINAGAR
(To be filled by candidate)
Candidate’s Name: _____________________________________
Father’s Name:_________________________________________
Address:______________________________________________
___________________________________Pin________________
Requisite Fee:
+ Bank Charge (Commission): 50/-
(To be filled by the Bank)
SBI Branch Name:____________________________
Branch Code Journal No
Deposit Date
Bank Stamp Authorized Signatory
(Please tick the A
ppropriate Box)
Signature of Candidate
Account No: 32157404236 (Power Jyoti A/C)
Valid upto 15/06/2016
Date Month Year
Requisite Fees for filling up of Forms
Rs. 780/-
