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CHALLAN FORM (CASH VOUCHER)

CHALLAN FORM (CASH VOUCHER)


CANDIDATES COPY

BRANCH COPY

ARYAVART KSHETRIYA GRAMIN BANK

ARYAVART KSHETRIYA GRAMIN BANK

RECRUITMENT PROJECT-2012

RECRUITMENT PROJECT-2012

Application Fee Details

Application Fee Details

Recruitment of Office Assistant

Recruitment of Office Assistant

in Aryavart Kshetriya Gramin Bank

AFFIX RECENT
PHOTOGRAPH

in Aryavart Kshetriya Gramin Bank

Account No : 000210210000001 (Aryavart Kshetriya Gramin Bank Recruitment A/C)


at Aryavart Kshetriya Gramin Bank, Gomti Nagar Branch

Account No : 000210210000001 (Aryavart Kshetriya Gramin Bank Recruitment A/C)


at Aryavart Kshetriya Gramin Bank, Gomti Nagar Branch

Candidates Name : Mr./Mrs/Kum._____________________________

Candidates Name : Mr./Mrs/Kum._____________________________

Category*

: SC/ST/PWD/EXS - ` 20/All Others


- ` 100/-

Candidates Date of Birth

:______________________________

Category*

: SC/ST/PWD/EXS - ` 20/All Others


- ` 100/-

Candidates Date of Birth

:______________________________

Aryavart Kshetriya Gramin Banks Branch Name :________________________

Aryavart Gramin Kshetriya Banks Branch Name :________________________

Branch Code No#

: _____________________________

Branch Code No#

: _____________________________

Transaction No #

: AG-__________________________

Transaction No #

: AG-__________________________

Date of Deposit

: ______________________________

Date of Deposit

: ______________________________

Application Fee including Postage `______________________


(` _______________________________________________________________only)

Application Fee including Postage `______________________


(` _______________________________________________________________only)

______________________
Signature of Depositor
Address:_______________________
_______________________________
Phone/Mobi. No._________________

______________________
Signature of Depositor
Address:_______________________
_______________________________
Phone/Mobi. No._________________

______________________
Authorized Signatory
Branch Stamp

* Tick whichever is applicable.


# Fee receiving branch is advised to write the Transaction No. and Branch Code No.
here

_____________________
Authorized Signatory
Branch Stamp

* Tick whichever is applicable.


# Fee receiving branch is advised to write the Transaction No. and Branch Code No.
above invariably.
(This part of the challan will be required to be submitted by the candidate at the
time of interview along with a photograph, otherwise the candidate will not be
allowed to appear in the interview.)

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