icici deposit slip for ielts test dates after 01 april 2017 .pdf

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DEPOSIT SLIP

DEPOSIT SLIP

Name of Branch

Name of Branch

Date of Deposit

Date of Deposit
D

D / M

M / Y

Y

D

(To be paid in cash only)

Account to be
credited

Account to be
credited

0 0 3 6 S L F E E C O L

Institute Code

F

C

B

H

Test taker Name

Test taker Name

First Name

First Name

Last Name

Last Name

Passport No.

Passport No.

IELTS Test Date

Y

F

C

B

H

D

D / M

M / Y

1

1

0

L

C

IELTS Test Date
D

D / M

M / Y

Y

Venue Code *

Y

Venue Code *
.

Amount

`

Amount (in words)

` Eleven thousand eight hundred only

1

1

8

0

0

0

0

Cash Details

.

Amount

`

Amount (in words)

` Eleven thousand eight hundred only

8

0

0

0

Cash Details

Denomination
2000
500
100
50
20
10
5
Coins
Total

M / Y

0 0 3 6 S L F E E C O L

Institute Code

L

C

D / M

(To be paid in cash only)

Amount

x
x
x
x
x
x
x

2000
500
100
50
20
10
5
Coins
Total

Branch Transaction ID

Signature / Stamp
ICICI Bank Ltd.

Denomination

Amount

x
x
x
x
x
x
x

Branch Transaction ID

Signature of Depositor

Signature / Stamp
ICICI Bank Ltd.

Signature of Depositor

For Internal use of ICICI Bank. Corresponding field for entry in finacle.

For further assistance, please contact our customer care at 0120-4569000 or 0120-6684353

For further assistance, please contact our customer care at 0120-4569000 or 0120-6684353

British Council is a proud co-owner of IELTS.

British Council is a proud co-owner of IELTS.

*Venue codes (Where are you taking the test?) Ahmedabad (AMD)  Amritsar (AMR)  Anand (AND)  Bengaluru (BLR)  Baroda (BDQ)  Bhatinda (BTD)  Bhopal (BHO)  Bhubaneswar (BHU)  Calicut (CLT)  Chandigarh (IXC)  Chennai (MAA)  Cochin
(COK)  Coimbatore (CJB)  Delhi (DEL)  Goa (GOA)  Gurugram (GGN)  Guwahati (GAU)  Hyderabad (HYD)  Indore (IDR)  Jaipur (JAI)  Jalandhar (QJU)  Jamshedpur (JAM)  Kolkata (CCU)  Kottayam (KOT)  Lucknow (LKO)  Ludhiana (LUH) 
Madurai (MAD)  Mangalore (MAN)  Moga (MOG)  Mumbai (BOM)  Navi Mumbai (NAV)  Patiala (PTL)  Patna (PAT)  Pondicherry (PDY)  Pune (PNQ)  Raipur (RAI)  Rajkot (RAJ)  Ranchi (RAN)  Rudrapur (RUD)  Siliguri (SIL)  Surat (STV)  Thrissur
(THR)  Trichy (THY)  Trivandrum (TRV)  Vijayawada (VWA)  Visakhapatnam (VIZ). Payment of the IELTS fees at ICICI Bank will be taken as the test taker's acceptance of the IELTS examination terms and conditions. If you pay for your IELTS
exam through ICICI Bank but do not complete your registration for the exam with us within 3 months of your payment date, the full amount of your exam fee will be forfeited & we will not be able to grant a refund or fee adjustment against any exam date.
Test venues are subject to change without prior notice. Test takers are requested to visit the website www.britishcouncil.in/ielts for the updated list of test venues and test dates before registration.

Note: This must be done within three days from your registration date.

(Candidate Copy)

1. Make the payment at ICICI Bank 2. Log on to https://ielts.britishcouncil.org/CandidateLogin.aspx
3. Click on the "Upload Documents" tab 4. Upload the scanned copy of your ICICI deposit slip

(Bank Copy)


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