State Bank Collect

SB Collect

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NAME *

FATHER NAME *

Contact No. *

University Registration No. (If Remember)

Membership No. (if available)

Membership Fees *

Donation Amount (If Any)

Remarks :

Membership Fee- Patron - 50,000 (INR), Donor Member - 20,000 (INR), Life member - 1800 (INR), Ordinary Member - 700 (INR per annum)

For more details contact : Mobile: +91-9646038912; E-mail : deanalumnioffice@pbi.ac.in

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On successful completion of payment,you will receive the transaction reference number on this mobile number

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Your Name * :

Organisation Name * :

Date of Incorporation * :

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Email Id :

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