Cash Voucher

Bank's Copy

Cash Voucher

Institute's Copy

Cash Voucher

Candidate's Copy

__________________ Branch (Code No. __________) OCES/DGFS-2013 - Application Fee Payment

__________________ Branch (Code No. __________) OCES/DGFS-2013 - Application Fee Payment

COLLECTION A/C NO. 31519633821

Name of the Candidate Present Address Discipline Code Date of Birth Mobile/Landline No. E-mail Address Category Physically Disabled Head Application Fees Bankers Charges Total Amount in words Amount Credit to

COLLECTION A/C NO. 31519633821

Name of the Candidate Present Address Discipline Code Date of Birth Mobile/Landline No. E-mail Address Category Physically Disabled Head Application Fees Bankers Charges Total Amount in words Amount Credit to

__________________ Branch (Code No. __________) OCES/DGFS-2013 - Application Fee Payment COLLECTION A/C NO.31519633821 Name of the Candidate Present Address Discipline Code Date of Birth Mobile/Landline No. E-mail Address Category Physically Disabled Head Application Fees Bankers Charges Total Amount in words Amount Credit to

` 250.00 31519633821 ` 50.00 98353XXXXXX ` 300.00 Rupees Three Hundred Only

` 250.00 31519633821 ` 50.00 98353XXXXXX ` 300.00 Rupees Three Hundred Only

` 250.00 31519633821 ` 50.00 98353XXXXXX ` 300.00 Rupees Three Hundred Only

_____________________________ Signature of the Candidate/ Remitter

_____________________________ Signature of the Candidate/ Remitter

_____________________________ Signature of the Candidate/ Remitter

For Receiving Branch use only CHALLAN NO.

For Receiving Branch use only CHALLAN NO.

For Receiving Branch use only CHALLAN NO.

SEAL / DATE

AUTHRISED SIGNATORY

SEAL / DATE

AUTHRISED SIGNATORY

SEAL / DATE

AUTHRISED SIGNATORY