ARMY PUBLIC SCHOOL DIGHI

APPLICATION FORM SECUTIRY DEPOSIT

From. _________________________________________________________________________

To. The Principal 

Army Public School Dighi

SUB : REQUEST FOR REFUND OF SECURITY DEPOSIT/FEES

Sir/Madam

Kindly Refund my Security Deposit. The dues of any towards school fees be deducted and balance amount be refunded to me.

Name of the Student  ____________________________________________________________

Class______ Sec ____ Adm No ________ Security Amount_____________(Original receipt is att) 

Account Holder’s Name____________________________________ Mob No ________________

Bank Name & Branch_____________________________________________________________ 

A/C No ____________________________ IFSC Code___________________ (Copy of canceled cheque/passbook copy attached). 

 (Yours faithfully)

FOR OFFICIAL USE ONLY

1. TC No & date : ___________________________

2. Fees refund period : ___________________________

2. Security Deposit : ___________________________

3. Annual Charges : ___________________________

4. Quarterly Fees : ___________________________

Total Amount : ___________________________