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Bank Branch Copy BANK CHALLAN FORM UNITED BANK OF INDIA Notification No Post applied for Name of Account

Home Branch of Account Account No Candidate Name Application Number Applied Category SOL ID #: (to be provided by Bank) Transaction I.D.No.#: (to be provided by Bank) Branch Where deposited.................................... Deposit Date ......./......./2013 Total Amount Application Fee Service Charge Total Rs. 400 Rs. 22 Rs. 422 MPP/2013/02 Assistant Engineer (Electrical) West Bengal State Electricity Distribution Company Limited Mayukh Bhawan, Salt Lake 1096050102001 Mr.ROHIT MUKHERJEE 776545 General Notification No Post applied for Name of Account Home Branch of Account Account No Candidate Name Application Number Applied Category SOL ID #: (to be provided by Bank) Transaction I.D.No.#: (to be provided by Bank)

Candidate's Copy BANK CHALLAN FORM UNITED BANK OF INDIA MPP/2013/02 Assistant Engineer (Electrical) West Bengal State Electricity Distribution Company Limited Mayukh Bhawan, Salt Lake 1096050102001 Mr.ROHIT MUKHERJEE 776545 General Notification No Post applied for Name of Account Home Branch of Account Account No Candidate Name Application Number Applied Category SOL ID #: (to be provided by Bank) Transaction I.D.No.#: (to be provided by Bank)

WBSEDCL's Copy BANK CHALLAN FORM UNITED BANK OF INDIA MPP/2013/02 Assistant Engineer (Electrical) West Bengal State Electricity Distribution Company Limited Mayukh Bhawan, Salt Lake 1096050102001 Mr.ROHIT MUKHERJEE 776545 General

Branch Where deposited.................................... Deposit Date ......./......./2013 Total Amount Application Fee Service Charge Total Rs. 400 Rs. 22 Rs. 422

Branch Where deposited.................................... Deposit Date ......./......./2013 Total Amount Application Fee Service Charge Total Rs. 400 Rs. 22 Rs. 422

(In words) Rupees .....................................................................Only (In words) Rupees .....................................................................Only (In words) Rupees .....................................................................Only Bank Branch Stamp Depositor's signature . Received by . Bank Branch Copy Bank Branch Stamp Depositor's signature . Received by . Candidate's Copy Bank Branch Stamp Depositor's signature . Received by . WBSEDCL's Copy (to be attached with the Application)

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