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Junior Resident / Senior Resident / Faculty Payment

UAT / Test Data: This form is prefilled with sample values for testing. Replace the values before production use.

Personal Information

Title *

Candidate Name *

Father's Name *

Category *

Designation *

Recruitment Category *

Contact Information

Mobile Number *

Email Address *

Payment Details

Amount (₹) *

₹

Payment Purpose *

Reference No.

Declaration

I hereby declare that all information entered by me is correct. I agree to the Terms & Conditions and understand that the amount paid is subject to the rules of Maharshi Devraha Baba Autonomous State Medical College.

Important Notice

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महर्षि देवरहा बाबा स्वशासी राज्य चिकित्सा महाविद्यालय, देवरिया

Maharshi Devraha Baba Autonomous State Medical College, Deoria

SBI E-PAY DETAILS