Challan Form

CHALLAN FORM (CASH VOUCHER) CHALLAN FORM (CASH VOUCHER)
BRANCH COPY CANDIDATE’S COPY

PUNJAB GRAMIN BANK PUNJAB GRAMIN BANK
Application Fee Details Application Fee Details
Recruitment of Officer Jr.Management Scale-I Recruitment of Officer Jr.Management Scale-I
in Punjab Gramin Bank in Punjab Gramin Bank
Account No : 85012100058408
at BO: Kapurthala Account No : 85012100058408
Candidate’s Name : Mr./Mrs/Kum. at BO: Kapurthala
Candidate’s Name : Mr./Mrs/Kum.
Category* SC/ST/PWD/EXS – Only
Postage Rs 75/- Category* SC/ST/PWD/EXS – Only
OBC/GEN - Application Postage Rs 75/-
Fee & Postage Rs.400/- OBC/GEN - Application
Fee & Postage Rs.400/-
Date of Birth :
Date of Birth :
Bank’s Branch Name :
Branch Code No# :
Branch Code No# :
Journal/TXN No # :
(7 to 10 digits) Journal/TXN No # :
(7 to 10 digits)
Deposit Date :
Deposit Date :
Application Fee/Postage Rs........................
(Rupees.................................................................. Application Fee/Postage Rs........................
........................only) (Rupees..................................................................
........................only)
Signature of Depositor
Authorized Signatory Signature of Depositor
Address:.................... Authorized Signatory
Stamp Address:....................
................................... Stamp
Phone/Mobi. No. ...................................
Phone/Mobi. No.
* Tick whichever is applicable. * Tick whichever is applicable.
# Fee receiving branch is advised to write the # Fee receiving branch is advised to write the
Deposit Journal No. and branch code no. above Deposit Journal No. and branch code no. above
invariably. invariably.
(This part of the challan will be required to be
submitted by the candidate at the time of
written test along with a photograph,
otherwise the candidate will not be allowed to
appear at the examination.)
PUNJAB GRAMIN BANK PUNJAB GRAMIN BANK
Recruitment of Office Assistant (Multi Purpose) Recruitment of Office Assistant (Multi Purpose)
Account No : 85012100058417
OBC/GEN - Application Postage Rs 75/-
Fee & Postage Rs.400/- OBC/GEN - Application
Fee & Postage Rs.400/-
Date of Birth :
Date of Birth :
Branch Code No# :
Branch Code No# :
Journal/TXN No # :
(7 to 10 digits)
Deposit Date :
Deposit Date :
(Rupees................................................................. Application Fee/Postage Rs........................
.........................only) (Rupees.................................................................
.........................only)
Signature of Depositor
Authorized Signatory Signature of Depositor
Address:.................... Authorized Signatory
Stamp Address:....................
................................... Stamp
Phone/Mobi. No. ...................................
Phone/Mobi. No.
written test along with a photograph,
otherwise the candidate will not be allowed
to appear at the examination.)
PUNJAB NATIONAL BANK PUNJAB NATIONAL BANK
Recruitment of Officer Jr.Management Scale-I Recruitment of Officer Jr.Management Scale-I
Account No : 0258002100039666
OBC/GEN - Application Fee Postage Rs 75/-
& Postage Rs.400/- OBC/GEN - Application Fee
& Postage Rs.400/-
Date of Birth :
Date of Birth :
Branch Code No# :
Branch Code No# :
Journal/TXN No # :
(7 to 10 digits)
Deposit Date :
Deposit Date :
(Rupees.................................................................... Application Fee/Postage Rs........................
......................only) (Rupees....................................................................
......................only)
Signature of Depositor Authorized

Signatory Signature of Depositor Authorized
Address:.................... Signatory
Stamp Address:....................
................................... Stamp
Phone/Mobi. No. ...................................
Phone/Mobi. No.
written test along with a photograph, otherwise
the candidate will not be allowed to appear at
the examination.)
PUNJAB NATIONAL BANK PUNJAB NATIONAL BANK
Recruitment of Office Assistant (Multi Purpose) Recruitment of Office Assistant (Multi Purpose)
Account No : 0258002100039657
OBC/GEN - Application Fee Postage Rs 75/-
& Postage Rs.400/- OBC/GEN - Application Fee
& Postage Rs.400/-
Date of Birth :
Date of Birth :
Branch Code No# :
Branch Code No# :
Journal/TXN No # :
(7 to 10 digits)
Deposit Date :
Deposit Date :
(Rupees..................................................................... Application Fee/Postage Rs........................
.....................only) (Rupees.....................................................................
.....................only)
Signature of Depositor Authorized

Signatory Signature of Depositor Authorized
Address:.................... Signatory
Stamp Address:....................
................................... Stamp
Phone/Mobi. No. ...................................
Phone/Mobi. No.
submitted by the candidate at the time of written
test along with a photograph, otherwise the
candidate will not be allowed to appear at the
examination.)

Challan Form

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Challan Form

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CHALLAN FORM (CASH VOUCHER) CHALLAN FORM (CASH VOUCHER)

BRANCH COPY CANDIDATE’S COPY

Signature of Depositor Authorized

Signature of Depositor Authorized

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