Name of the College :...............................................................................................................
| Semester |
No. of student Without Fine |
No. of student With Fine of Rs. 500/- |
No. of student With Fine of Rs. 1000/- |
No. of Back Papers |
|
7th |
A |
B |
C |
D |
|
Amount -> |
A X 1500 |
B X 2000 |
C X 2500 |
D X 200 |
TOTAL AMOUNT |
|
|
|
|
|
|
5th |
P |
Q |
R |
S |
|
Amount -> |
P X 1500 |
Q X 2000 |
R X 2500 |
S X 200 |
TOTAL AMOUNT |
DD. No : ......................... Date : .........................
Drawn on Bank :..................................................
Payable at : .........................................................
Remarks if any : |