APPLICATION FEE / INTIMATION CHARGES PAYMENT CHALLAN BRANCH COPY

APPLICATION FEE / INTIMATION CHARGES PAYMENT CHALLAN CANDIDATE COPY

Application Fee / INTIMATION Charges Details Recruitment Project 3 / 2013 T O B E F I L L E D - I N B Y T H E C A ND I D AT E Registration No. [to be filled after : registration] Applicants Name Date of Birth [DD-MM-YYYY] Contact Phone No Category* [Tick appropriate box] Post Applied for Amount deposited : : : ` 100/: : :
SC ST PWD

Application Fee / INTIMATION Charges Details Recruitment Project 3 / 2013 T O B E F I L L E D - I N B Y T H E C A ND I D AT E Registration No. [to be filled after : registration] Applicants Name Date of Birth [DD-MM-YYYY] Contact Phone No ` 500/All Others Category* [Tick appropriate box] Post Applied for Amount deposited : : : : : :
SC

Mr. / Mrs. / Kum

Mr. / Mrs. / Kum

` 100/ST

PWD

` 500/All Others

Manager [MMGS-II] / Senior Manger-Credit [MMGS-III] ` _____/- [Rupees ____________________only]

Manager [MMGS-II] / Senior Manger-Credit [MMGS-III] ` _____/- [Rupees ____________________only]

Depositing Branch Name & City : T O B E F I L L E D - I N B Y T H E B R A NC H O F FI C I AL S D P Code of Branch where Fees / : Intimation Charges Paid Canara Bank, Town Hall Welfare Centre, Bangalore Payee Branch Name : [DP Code-8693] Name of the Account : Canara Bank Recruitment Project 3/2013 Account Number : 8693201000004 Transaction Sequence No. Date of Deposit [shall be between
26.08.2013 and 05.09.2013]

Depositing Branch Name & City : T O B E F I L L E D - I N B Y T H E B R A NC H O F FI C I AL S D P Code of Branch where Fees / : Intimation Charges Paid Canara Bank, Town Hall Welfare Centre, Bangalore Payee Branch Name : [DP Code-8693] Name of the Account : Canara Bank Recruitment Project-3/2013 Account Number : 8693201000004 Transaction Sequence No. Date of Deposit [shall be between
26.08.2013 and 05.09.2013]

: :

: :

Signature of Depositor

Authorized Signatory SP No:___________ & Branch Seal:__________

Signature of Depositor

Authorized Signatory SP No:___________ & Branch Seal:__________

Note to the Branch: (1) Only Payment Challan containing full details of candidate should be accepted. (2) Write Transaction Sequence No. & Branch DP Code No. above invariably, only after the transaction is authorized & successful and then only copy should be given to Candidate. (3) Transaction Sequence No. should not be prefixed or suffixed with any other numbers. (4) In Narration field in CBS, name of the candidate should be entered.

Note to the candidates: (1) Please check whether the Transaction Sequence No., Branch DP Code No & Date of Deposit are entered properly & signed by the Branch Officials (2) Candidate has to submit this challan along with System Generated Registered Application & other documents to the specified address so as to reach on or before the stipulated date.