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Jharkhand Public Service Commission, Ranchi

Bank’s Copy

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Jharkhand Public Service Commission, Ranchi

JPSC’s Copy

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Jharkhand Public Service Commission, Ranchi

Candidate’s Copy

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State Bank of India. Branch Code_____________

State Bank of India. Branch Code_____________

State Bank of India. Branch Code_____________

JHARKHAND PUBLIC SERVICE COMMISSION
5th Combined Civil Services (PT) Competitive Exam-2013

JHARKHAND PUBLIC SERVICE COMMISSION
5th Combined Civil Services (PT) Competitive Exam-2013

JHARKHAND PUBLIC SERVICE COMMISSION
5th Combined Civil Services (PT) Competitive Exam-2013

Advertisement. No. –06/2013 SBI Branch Name: - _______________________________________
SBI ACCOUNT NO.
SBI JOURNAL NO. # /

Advertisement. No. –06/2013 SBI Branch Name: - ______________________________________
SBI ACCOUNT NO.

Advertisement. No. –06/2013 SBI Branch Name: - ______________________________________
SBI ACCOUNT NO.

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0

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3

0

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SBI Branch Code: 12623

SBI Branch Code: 12623
SBI JOURNAL NO. # /

SBI Branch Code: 12623
SBI JOURNAL NO. # /

Day

Month

Year

Day

Month

Year

Day

Month

Year

1. Name of Examination: - _______________________________ ______________________________________________ 2. Name of the Candidate: - _____________________________

1. Name of Examination: - _______________________________ ______________________________________________ 2. Name of the Candidate: - _____________________________

1. Name of Examination: - _______________________________ ______________________________________________ 2. Name of the Candidate: - _____________________________

3. Tick Mark the Reservation Category: UNR SC ST BC-I

Handicapped BC-II

3. Tick Mark the Reservation Category: UNR SC ST BC-I

Handicapped BC-II

3. Tick Mark the Reservation Category: UNR SC ST BC-I

Handicapped BC-II

4.

Fee :- (1) Examination Fee –

Rs.

. 0 0

4.

Fee :- (1) Examination Fee –

Rs.

. 0 0

4.

Fee :- (1) Examination Fee –

Rs.

. 0 0

(2) Online Application Charges- Rs. (3) Bank Charges – (4) Total – Rs. Rs.

* *

1

7 . 5 0

(2) Online Application Charges- Rs. (3) Bank Charges – (4) Total – Rs. Rs.

* *

1

7 . 5 0

(2) Online Application Charges- Rs. (3) Bank Charges – (4) Total – Rs. Rs.

* *

1

7 . 5 0

5 0

. 0 0 .

5 0 . 0 0

5 0 . 0 0

.

.

Total Amount (In Word):- Rs _______________________ __________________________________________________ Note: - All printout of online application are to be submitted to JPSC, Ranchi by Speed Post/Registered Post only. PM/SPM/Teller’s Signature & Seal Depositor’s Signature

Total Amount (In Word):- Rs _______________________ Total Amount (In Word):- Rs _______________________ __________________________________________________ __________________________________________________ Note: - All printout of online application are to be submitted to JPSC, Note: - All printout of online application are to be submitted to JPSC, Ranchi by Speed Post/Registered Post only. Ranchi by Speed Post/Registered Post only. PM/SPM/Teller’s Signature & Seal Depositor’s Signature PM/SPM/Teller’s Signature & Seal Depositor’s Signature

Note: - SBI BRANCHES TO CONTACT ON HELPLINE NO.
651-2561166, 9430730500, 9431587970 IN CASE ANY QUERY IN THIS REGARD.

Note: - SBI BRANCHES TO CONTACT ON HELPLINE NO.
651-2561166, 9430730500, 9431587970 IN CASE ANY QUERY IN THIS REGARD.

Note: - SBI BRANCHES TO CONTACT ON HELPLINE NO.
651-2561166, 9430730500, 9431587970 IN CASE ANY QUERY IN THIS REGARD.

BC-I – Backward Class-I, BC-II – Backward Class-II, SC – Scheduled Caste, ST – Scheduled Tribe * Strike out the option (s) not applicable. # Instruction for SBI Branches. Abbreviations used: (i) Journal No. should be strictly mentioned at the appropriate place in challan. (ii) “Advertisement No” should be fed into CB Screen under “Registration/Ref. No.” (iii) Name of candidate should be mentioned under Head “Name of the Candidate” JPSC Website: - www.jpsc.gov.in OR www.jpscoas.sifyitest.com

BC-I – Backward Class-I, BC-II – Backward Class-II, SC – Scheduled Caste, ST – Scheduled Tribe * Strike out the option (s) not applicable. # Instruction for SBI Branches. Abbreviations used: (i) Journal No. should be strictly mentioned at the appropriate place in challan. (ii) “Advertisement No” should be fed into CB Screen under “Registration/Ref. No.” (iii) Name of candidate should be mentioned under Head “Name of the Candidate” JPSC Website: - www.jpsc.gov.in OR www.jpscoas.sifyitest.com

BC-I – Backward Class-I, BC-II – Backward Class-II, SC – Scheduled Caste, ST – Scheduled Tribe * Strike out the option (s) not applicable. # Instruction for SBI Branches. Abbreviations used: (i) Journal No. should be strictly mentioned at the appropriate place in challan. (ii) “Advertisement No” should be fed into CB Screen under “Registration/Ref. No.” (iii) Name of candidate should be mentioned under Head “Name of the Candidate” JPSC Website: - www.jpsc.gov.in OR www.jpscoas.sifyitest.com