AIIMS Raipur
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Category
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Student
Employee
Vendor/Contractor
Others(This is not for patient)
Name
Admission /Roll No.
Course Name
Contact No.
Email Id
Purpose
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Admission Fees
Examination Fee
Duplicate ID Card(Rs. 100)
Penalty for vacating seat / Resignation
Security Deposit
Postage for degree (Rs. 200)
Refund to AIIMS
Log book charges ( Rs.500)
Short Term Training Fee (Rs.3000)
Others
Amount
Remarks
Payment Mode
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Credit Card
Debit Card
Net Banking
UPI
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Employee Id
Name
Designation
Department
Contact No.
Email
Purpose
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TA Refund
Temporary Advance Refund
Licence Fee/Water Charges
Notice Period Salary
Deposit For Original Documents
Refund of Excess Payment
Others
Amount
Remarks
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Credit Card
Debit Card
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Name
Address
City
GST No./PAN No.
Contact No.
Email
Tender Type
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Stores
ABEU
Others
Tender/NOA/Work Order No
Details of Work/Supply
Purpose
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Earnest Money Deposit
Electricity Charges
Rent
Water Charges
Security Deposit (PSD)
Other Deposit
Refund to AIIMS
Others/Remarks
Remarks
Amount
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Debit Card
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UPI
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Advertisement No.
Post Applied For
Name
Father's Name
Application Id
Contact No.
Email Id
Address(Permanent/Correspondence)
Amount
Remarks
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Credit Card
Debit Card
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Name
Contact No.
Email
Postal Address
Purpose
ID Proof
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PAN
Voter Id
Govt. Id
Driving Licence
Passport
Id No.
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Amount
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