CHAITANYA GODAVARI GRAMEENA BANK :: HEAD OFFICE :: GUNTUR RECRUITMENT PROJECT CWE-IBPS-2012 Officer MM-II, Officer JM-I &

Office Assistant (Multipurpose) APPLICATION FEE PAYMENT CHALLAN

CHAITANYA GODAVARI GRAMEENA BANK :: HEAD OFFICE :: GUNTUR RECRUITMENT PROJECT CWE-IBPS-2012 Officer MM-II, Officer JM-I & Office Assistant (Multipurpose) APPLICATION FEE PAYMENT CHALLAN

(Branch copy)
To be filled in by the CANDIDATE
Applicants Name
(Please note: Applicants Name in this challan and on the On-Line application should be the same)

(Applicants copy)
To be filled in by the CANDIDATE
Applicants Name
(Please note: Applicants Name in this challan and on the On-Line application should be the same)

Application fee Category

Rs.100/Gen OBC SC ST

Rs.20/PWD

Application fee Category Tick[] whichever is applicable Officer (Scale-I & Scale-II) Application fee Category Office Assistant (Multi purpose) FOR BRANCH USE
Account Number

Rs.100/Gen OBC SC ST

Rs.20/PWD

Officer (Scale-I & Scale-II) Application fee Rs.100/All other Category Office Assistant (Multi purpose) FOR BRANCH USE
Account Number Branch Sol ID & Name Date of payment

Rs.20/SC ST PWD EX-SER

Rs.20/All other SC ST PWD EX-SER

Tick[] whichever is applicable

7031 110 1110 0126

From 04-12-2012 to 19-12-2012 only

7031 110 1110 0126

Rs.100/From 04-12-2012 to 19-12-2012 only

Branch Sol ID & Name Date of payment

Transaction Id

Transaction Id

Authorised Signatory with Signature No & Br.Seal

Applicants/Remitters Signature

Authorised Signatory with Signature No & Br.Seal

Applicants/Remitters Signature