Payment Ownership Declaration

Complete the details carefully. The application date and reference number will be generated automatically after submission.

1. Student Details

Student Name *

Student ID / Roll No.

Course *

Managed from Admin > Masters.

Academic Session *

Managed from Admin > Masters.

Student Mobile No. *

Admission Through *

Managed from Admin > Masters.

2. Payment Details

Amount Paid (₹) *

Date of Payment *

Payment UTR / Transaction ID *

Numbers only. Letters, spaces and symbols are not accepted.

Duplicate references are checked automatically.

Mode of Payment *

If Other, specify *

Shown when the selected mode value is Other.

Bank / Payment App (if applicable)

3. Payment / Account Owner Details

Payment account/source belongs to *

4. Declaration & Physical Document Requirement

No document is uploaded online. After submission, print the declaration form, sign it, obtain the payment owner's/consultancy signature where applicable, and submit it physically with the documents below.

I will attach a self-attested payment reference document / transaction receipt showing the UTR or Transaction ID. I will attach a self-attested Aadhaar card copy of the student. If payment is not self-owned, I will attach the self-attested Aadhaar card copy of the concerned payment owner. I declare that the information entered is true. I understand that false/fabricated information may lead to strict disciplinary and administrative action, and that I am responsible for clarifying any competing claim over the same payment.