CHALLAN FORM (CASH VOUCHER) BRANCH COPY PUNJAB NATIONAL BANK-02 Application Fee Details Recruitment of Office Assistant

(Multipurpose) in Haryana Gramin Bank 2012 (Branches to make entry using FCMBR Menu Option Instead of TM)
Institute ID Collection code : HGBRO : HGBOA

CHALLAN FORM (CASH VOUCHER) CANDIDATES COPY PUNJAB NATIONAL BANK-02 Application Fee Details Recruitment of Office Assistant (Multipurpose) in Haryana Gramin Bank 2012

Affix Pass port size Photograph

(Branches to make entry using FCMBR Menu Option Instead of TM) Candidates Name : Mr./Mrs/Kum. Category* SC/ST/PWD Rs.20/- (Only Postage)
OBC/GEN/EXS Rs.100/- (Application fee & Postage)

Candidates Name : Mr./Mrs/Kum. . Category* : SC/ST/PWD Rs.20/- (Only Postage)

OBC/GEN/EXS Rs.100/- (Application fee & Postage)

Date of Birth Scale

: :

Date of Birth Scale

: :

PNB Branch Name : Branch Code No# Transaction ID # Deposit Date : : :

PNB Branch Name : Branch Code No# : Transaction ID # Deposit Date : :

Application Fee/Postage Rs. ....................... (Rupees..........................................................................................only) Signature of Depositor Authorized Signatory Address:.................................. Stamp Phone/Mob. No.. (Make entry in Merit Rank Option of payee) * Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID and Branch Code No. above invariably.

Application fee/postage Rs. ....................... (Rupees..........................................................................................only)

Signature of Depositor Authorized Signatory Address:.................... Stamp Phone/Mob. No.. * Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID 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 at the venue)