Follow the steps to complete the form successfully.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Fill in the registration number in the designated field at the top of the form, ensuring it matches the number on your records.
3. Enter your course and branch information clearly in the respective sections, making sure to follow the format provided in the form.
4. Provide the session details accurately to avoid any discrepancies in your application.
5. Select the name of your bank from the options available, entering the full name correctly as required in the form.
6. Write your full name as the customer under the customer name section, ensuring it matches your bank account.
7. Enter your customer account number in the designated field. This must be accurate to allow proper transaction processing.
8. Address the letter to the Branch Head, ensuring you include your bank and branch details in the specified fields.
9. Clearly indicate the amount to be debited from your account in both numeric and written form, ensuring it reflects the appropriate fee reimbursement amount.
10. Input the details for the institution where the fees will be remitted, including the institution's name and the account number as directed.
11. If applicable, provide the RTGS/NEFT (IFSC) code for the beneficiary bank, ensuring its accuracy for the transaction.
12. Review the section regarding the request for remittance, ensuring you understand the terms outlined about liability and responsibility.
13. Sign and date the document in the space provided. Ensure your signature matches the one on your bank records for verification.
14. Once all details are filled out accurately, save your changes. Users can then download, print, or share the completed form as needed.

Complete your documents online today to ensure timely processing of your fee reimbursement.