Student's National ID/Passport No

Service No/Registration No

Payee Name

Degree Name

Mobile No

Email Address

Select Fee Type Application Fee - Local Applicants Course Fee - 1st Instalment - Local Applicants Course Fee - 2nd Installment - Local Applicants Course Fee - 3rd Installment - Local Applicants Course Fee - 4th Installment- Local Applicants Repeat Exam Fee Hostel Fee - Local Applicants Hostel Deposit - Local Applicants Library Fee - Local Applicants Administrative Fee - Local Applicants Fine Charges Other Charges (Please Specify in Description)

Description (Other Chargers Only)

Amount

Select Payer Relationship Type AGENT FRIEND GUARDIAN PARENT SELF