CASH (1ST Copy)

PAY-IN-SLIP

CASH (2ND Copy)

(To be retained by the BANK)

Remittence of Fee through BANK Challan is applicable only for
candidates applying ON-LINE.

______________

Joint CSIR-UGC (NET) Examination June,

2010
December
2012

2012

Designated Nodal Branch

CSIR saving A/c No:. 8 2 4 3 0 5 5 5 3

PAY-IN-SLIP

CASH (3RD Copy)

(To be send by Applicant to CSIR)

Remittence of Fee through BANK Challan is applicable only for
candidates applying ON-LINE.

______________

Joint CSIR-UGC (NET) Examination June,

2010
2012
December

2012

Designated Nodal Branch

CSIR saving A/c No:. 8 2 4 3 0 5 5 5 3

Detail of Fee
(Please Tick fee, as applicable )

PAY-IN-SLIP

(To be retained by the Applicant)

Remittence of Fee through BANK Challan is applicable only for
candidates applying ON-LINE.

______________

Joint CSIR-UGC (NET) Examination June,

2010
2012
December

Designated Nodal Branch

CSIR saving A/c No:. 8 2 4 3 0 5 5 5 3

Detail of Fee
(Please Tick fee, as applicable )

Detail of Fee
(Please Tick fee, as applicable )

Category

Amount

Category

Amount

Category

Amount

General

Rs.400/-

General

Rs.400/-

General

Rs.400/-

OBC

Rs.200/-

OBC

Rs.200/-

OBC

Rs.200/-

SC/ST/PH/VH

Rs.100/-

SC/ST/PH/VH

Rs.100/-

SC/ST/PH/VH

Rs.100/-

______________

______________

To be filled in by the Applicant

Subject Code:

Centre Code:

Category Code:

______________

To be filled in by the Applicant

Subject Code:

Centre Code:

Category Code:

2012

To be filled in by the Applicant

Subject Code:

Centre Code:

Category Code:

Name (Block letters) :......................................................

Name (Block letters) :......................................................

Name (Block letters) :......................................................

Address (Block letters) :.................................................................

Address (Block letters) :.................................................................

Address (Block letters) :.................................................................

Deposit Fee Amount:

(In figure)

Deposit Fee Amount:

(In figure)

Deposit Fee Amount:

(In figure)

Date:

Date:

Date:

Deposit Fee Amount:...............................................................

(In words)

Deposit Fee Amount:...............................................................

(In words)

Deposit Fee Amount:...............................................................

(In words)

Phone/Mobile Number:

Phone/Mobile Number:

Phone/Mobile Number:

______________

______________

For Bank Use Only

For Bank Use Only

APPLICANT SIGNATURE

APPLICANT SIGNATURE

______________
APPLICANT SIGNATURE

For Bank Use Only

Received the above amount on............................................(date)

Received the above amount on............................................(date)

Received the above amount on............................................(date)

Deposit Journal No..................

Deposit Journal No..................

Deposit Journal No..................

Bank Name..................................................

Bank Name..................................................

Bank Name..................................................

Bank/Branch code.......................................

Bank/Branch code.......................................

Bank/Branch code.......................................

Branch Name/City...................................................................................

Branch Name/City...................................................................................

Branch Name/City...................................................................................

(Signature with seal of the depositing Bank)

(Signature with seal of the depositing Bank)

(Signature with seal of the depositing Bank)

Note: 1. Bank name. Branch code and Branch name / City Must be given by the Bank.
20-03-2012
2. Bank is requested to accept deposits only upto: 17.03.2010.
27
18-9-12

______________

Note: 1. Bank name. Branch code and Branch name / City Must be given by the Bank.
2. Bank is requested to accept deposits only upto: 17.03.2010.
20-03-2012
27
18-9-12

______________

Note: 1. Bank name. Branch code and Branch name / City Must be given by the Bank.
2. Bank is requested to accept deposits only upto: 27
17.03.2010.
20-03-2012
18-9-12

As per agreement with Indian Bank, West Patel Nagar, New Delhi, all
CBS Branches of Indian Bank are authorized to collect the fees.

As per agreement with Indian Bank, West Patel Nagar, New Delhi, all
CBS Branches of Indian Bank are authorized to collect the fees.

As per agreement with Indian Bank, West Patel Nagar, New Delhi, all
CBS Branches of Indian Bank are authorized to collect the fees.

______________