Gulbarga University, Kalaburagi Online Payment Form

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GULBARGA UNIVERSITY, KALABURAGI
ONLINE PAYMENT FORM
PERSONAL DETAILS
Name
Designation
Mobile Number
Firm / Institution
College / Department
Name of the University
ACCOUNT DETAILS
Name of the Bank
Name of the Branch
Name of the City
Account Number
IFSC Code
AMOUNT:
1. I agree the terms and conditions of the online payment
2. Information given by me is correct any wrong information is my sole
responsibility
3. If any excess amount is credited to my account, the same will be
refunded by me to the Gulbarga University Authorities.
4. I certify that I have not claimed this bill amount earlier.
NAME & SIGNATURE
Place:
Date:
FOR OFFICE USE
Section Clerk
Superintendent
Deputy Finance Officer
Finance Officer

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