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STUDENT/MEMBER BILL MUSTER DEPOSIT FORM
Name of Institution: KAPASA MAKASA UNIVERSITY
Date: 03 / 05 / 2025
Member/Student Name:
Member/Student Number:
Payment Code/s or details: 6198
Phone No:
Examination Center Code(if applicable):
NRC No:
CASH
Amount in Figures: K150
Amount in Words: ONE HUNDRED AND FIFTY KWACHA ONLY
FOR ACCOUNT HOLDERS
Pay the sum of K
Account Number
Holder's Name:
Signature:
Disclaimer: The Bank shall NOT be held liable for any inconvenience caused by the Bank system or any other system failures or any claim of incomplete funds transmission to the service provider. All inquiries should be directed to the service provider unless otherwise.
Paid in by:
Teller Stamp:
STUDENT/MEMBER BILL MUSTER DEPOSIT FORM
Name of Institution: KAPASA MAKASA UNIVERSITY
Date: 03 / 05 / 2025
Member/Student Name:
Member/Student Number:
Payment Code/s or details: 6198
Phone No:
Examination Center Code(if applicable):
NRC No:
CASH
Amount in Figures: K150
Amount in Words: ONE HUNDRED AND FIFTY KWACHA ONLY
FOR ACCOUNT HOLDERS
Pay the sum of K
Account Number
Holder's Name:
Signature:
Disclaimer: The Bank shall NOT be held liable for any inconvenience caused by the Bank system or any other system failures or any claim of incomplete funds transmission to the service provider. All inquiries should be directed to the service provider unless otherwise.
Paid in by:
Teller Stamp: