Probationary Officer Recruitment Project -2010 Probationary Officer Recruitment Project -2010

CHALLAN CHALLAN

BRANCH COPY CANDIDATE’S COPY

(To be produced at the time of written Test)

Application Fee Details Application Fee Details

Account No : 60049253981 Account No : 60049253981
Applicant’s Name
Applicant’s Name Mr./Mrs./Kum.
Mr./Mrs./Kum. Category* -SC/ST/PWD- Only Postage Rs.50/-( tick as applicable)
Category* -SC/ST/PWD- Only Postage Rs.50/-( tick as applicable) OBC/GEN/-Application Fee & Postage Rs 300/-( tick as applicable )
OBC/GEN/-Application Fee & Postage Rs 300/-( tick as applicable )
Branch Name :
Branch Name :
Branch Code :
Branch Code :
Journal No :
Journal No :
Deposit Date :
Deposit Date :
Application Fee/Postage Rs.
Application Fee/Postage Rs. (Rupees ………………………………………….only)
(Rupees ………………………………………….only) Authorized Signatory Seal
Authorized Signatory * Tick whichever is applicable.
Seal
* Tick whichever is applicable. # Fee receiving branch is advised to write compulsorily the correct Journal No
# Fee receiving branch is advised to compulsorily write the correct and Branch Code
Journal No and Branch Code
 Paid by Cheque
Paid By Cash Cheque No
Note No Amount Cheque Date
1000 Amount
500 Bank Branch
100
50
20
10
5
2
1