PAYMENT RECEIPT CHALLAN No.

BRANCH COPY

PAYMENT RECEIPT CHALLAN No. :

CANDIDATES COPY

INDIAN OVERSEAS BANK

Recruitment of Clerical Staff - 2012 (Based on the IBPS CWE CLERK Nov/Dec 2011)
TO BE FILLED-IN BY THE CANDIDATE
IBPS CWE-CLERK 2011-12 Registration No. Candidate Name Contact Phone No. Category* [Please tick whichever is applicable] Application Fee/ Intimation Charge SC / ST / PC / EXSM 20 Only ________ /- [Rupees Amount Deposited ________________________________ __________________________Only] Branch Name & City where the amount is deposited Date of Deposit [DD - MM - YYYY] GEN & OBC 100 Only

INDIAN OVERSEAS BANK

Recruitment of Clerical Staff 2012 (Based on the IBPS CWE CLERK Nov/Dec 2011 )
TO BE FILLED-IN BY THE CANDIDATE
IBPS CWE-CLERK 2011-12 Registration No. Candidate Name Contact Phone No. Category* [Please tick whichever is applicable] Application Fee/ Intimation Charge SC / ST / PC / EXSM 20 Only ________ /- [Rupees Amount Deposited ________________________________ __________________________Only] Branch Name & City where the amount is deposited Date of Deposit [DD - MM - YYYY] GEN & OBC 100 Only

TO BE FILLED-IN BY THE BRANCH OFFICIALS

Payee Branch Name Title of the Account CDCC Account Number Depositing Branch Code where the Application Fee/ Intimation Charge is paid Transaction ID Date of Deposit [shall be between 29.06.2012 and 14.07.2012]
Gemini Circle Branch (Branch code: 2051) IOB Recruitment of Clerical Staff 2012

TO BE FILLED-IN BY THE BRANCH OFFICIALS

Payee Branch Name Title of the Account CDCC Account Number Depositing Branch Code where the Application Fee/ Intimation Charge is paid Transaction ID Date of Deposit [shall be between 29.06.2012 and 14.07.2012]
Gemini Circle Branch (Branch code: 2051) IOB Recruitment of Clerical Staff 2012

205102000020121

205102000020121

Signature of Depositor

Authorised Signatory Branch Seal

Signature of Depositor

Authorised Signatory Branch Seal

Note to the Branch: (1) Please check whether all the details are entered properly and Signed by the candidate; (2) Please write the transaction ID and hand over the Candidates copy of the Challan to the Candidate duly signed by the authorised signatory.

Note to the Candidate: (1) Please check whether the transaction ID is entered properly and Signed by the Branch Officials; (2) Candidate has to submit the Candidate's copy of the Payment Receipt / Challan along with call letter at the time of the Interview.