(Branch copy

)

(Bank copy)

(Candidate’s copy)

Challan for remittance of application fee for Recruitment of Clerks/ Probationary Officers Date- _ _/06/2012 {Account No: 10010200150362} Applicant's Name: Shri./Smt./ Kum……………………………………….. Post Applied for: Clerk/ Probationary Officer Category (Tick whichever is applicable) General SC/ST Rs.200/Rs.50/: : : : : Rs. ………..

Challan for remittance of application fee for Recruitment of Clerks/ Probationary Officers Date- _ _/06/2012 {Account No: 10010200150362} Applicant's Name: Shri./Smt./ Kum……………………………………….. Post Applied for: Clerk/ Probationary Officer Category (Tick whichever is applicable) General SC/ST Rs.200/Rs.50/: : : : : Rs………….

Challan for remittance of application fee for Recruitment of Clerks/ Probationary Officers Date- _ _/06/2012 {Account No: 10010200150362} Applicant's Name: Shri./Smt./ Kum……………………………………….. Post Applied for: Clerk/ Probationary Officer Category (Tick whichever is applicable) General SC/ST Rs.200/Rs.50/: : : : : Rs……………

FB Branch Name SOL ID Transaction ID Deposit Date Application Fee

FB Branch Name SOL ID Transaction ID Deposit Date Application Fee

FB Branch Name SOL ID Transaction ID Deposit Date Application Fee

(Rupees…………………………. ………….. only)

(Rupees…………………………. ………….. only)

(Rupees…………………………. ………….. only)

Signature of the remitter

Signature of the authorised official with Branch Seal

Signature of the remitter

Signature of the authorised official with Branch Seal

Signature of the remitter

Signature of the authorised official with Branch Seal

Fee receiving branch is advised to write the Branch Name, SOL ID, Transaction ID, Deposit Date invariably and handover the Bank copy and candidate’s copy to the remitter, duly signed.

Fee receiving branch is advised to write the Branch Name, SOL ID, Transaction ID, Deposit Date invariably and handover the Bank copy and candidate’s copy to the remitter, duly signed.

Fee receiving branch is advised to write the Branch Name, SOL ID, Transaction ID, Deposit Date invariably and handover the Bank copy and candidate’s copy to the remitter, duly signed.

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