(Candidate Copy)

JEE(Main)-2014

Cash can be deposited at any CBS Branch of ICICI Bank

Bank A/C No. : JEE(Main)-2014 Fee A/C

Application No.: 40201397Name : A.KAPILDEV KUMARDate of Birth : 21/10/1996

Category : OBC- NCL (CENTRAL LIST)

Person with Disability (PwD) : NO

Course : JEE(Main) Paper - 1 (B.E./B.Tech.) Only

Mobile No. : 9445815849

Fee Rs : 1000/-

Printed on : 22-11-2013 10:36:34 PM

Signature of the Depositor

----

(To be filled by the bank)

Branch Name:

Branch Code:

Transaction Id:

Deposit Date:_________/_________/2013

Authorized Signatory

Branch Stamp

Candidate should revisit the website to download Acknowledgement Page after depositing the fee.

(Bank Copy)

JEE(Main)-2014

Cash can be deposited at any CBS Branch of ICICI Bank

Bank A/C No. : JEE(Main)-2014 Fee A/C

Application No.: 40201397Name : A.KAPILDEV KUMARDate of Birth : 21/10/1996

Category : OBC- NCL (CENTRAL LIST)

Person with Disability (PwD) : NO

Course : JEE(Main) Paper - 1 (B.E./B.Tech.) Only

Mobile No. : 9445815849

Fee Rs : 1000/-

Printed on : 22-11-2013 10:36:34 PM

Signature of the Depositor

Instructions for ICICI Bank Branches

1. This is an I Sure Pay Challan & Inst Code/ Account No. not required

2. Type "HCOREFEE" in finacle --> Select "JEE(Main)-2014 CBSE" --> Enter "Application No.:" --> Click Submit --> Verify Details --> Accept Cash --> Click Submit -->Generate Receipt -->Handover to Depositor.

(To be filled by the bank)

Branch Name:

Branch Code:

Transaction Id:

Deposit Date:_________/_________/2013

Authorized Signatory

Branch Stamp

Bank official is requested to enter Application No. and Name of candidate only in narrative column.