Challan (Candidate Copy)

Challan (Department Copy)

Challan (Bank Copy)

State Bank of Patiala

Sector 22 B, Chandigarh

State Bank of Patiala

Sector 22 B, Chandigarh

State Bank of Patiala

Sector 22 B, Chandigarh

Application Fee, FCS, Recruitment 2013

Application Fee, FCS, Recruitment 2013

LAST DATE OF DEPOSIT 06.11.2013

INSTRUCTIONS FOR RECEIVING BRANCH
- Fee can be deposited in any branch of State Bank of Patiala.
- Fee receiving branch must write the Deposit Journal No. and
Branch Code No. as required below.

SCREEN NO. 8877

Account No.

FEE

FEE TYPE 901

65177776352
SC/BC Rs 200/GEN Rs 800/All Others Rs 800/-

Application Fee, FCS, Recruitment 2013

LAST DATE OF DEPOSIT 06.11.2013

INSTRUCTIONS FOR RECEIVING BRANCH
- Fee can be deposited in any branch of State Bank of Patiala.
- Fee receiving branch must write the Deposit Journal No. and
Branch Code No. as required below.

SCREEN NO. 8877

Account No.

FEE

FEE TYPE 901

65177776352
SC/BC Rs 200/GEN Rs 800/All Others Rs 800/-

LAST DATE OF DEPOSIT 06.11.2013

INSTRUCTIONS FOR RECEIVING BRANCH
- Fee can be deposited in any branch of State Bank of Patiala.
- Fee receiving branch must write the Deposit Journal No. and
Branch Code No. as required below.

SCREEN NO. 8877

Account No.

FEE

FEE TYPE 901

65177776352
SC/BC Rs 200/GEN Rs 800/All Others Rs 800/-

________________________________ ________________________________
To be filled by Candidate
To be filled by Candidate

________________________________
To be filled by Candidate

1. Applicants Name : _______________________________________________

1. Applicants Name : _______________________________________________

1. Applicants Name : _______________________________________________

2. Date of Birth (DD/MM/YYYY) : _______________________________

2. Date of Birth (DD/MM/YYYY) : _______________________________

2. Date of Birth (DD/MM/YYYY) : _______________________________

3. Category (SC / BC / GEN / OTH) : ______________________________

3. Category (SC / BC / GEN / OTH) : ______________________________

________________________________ ________________________________
To be filled by Bank
To be filled by Bank

3. Category (SC / BC / GEN / OTH) : ______________________________

________________________________
To be filled by Bank

4. Receiving Branch : _______________________________________________

4. Receiving Branch : _______________________________________________

4. Receiving Branch : _______________________________________________

5. Receiving Branch Code : ________________________________________

5. Receiving Branch Code : ________________________________________

5. Receiving Branch Code : ________________________________________

6. Deposit Date (DD/MM/YYYY) : ________________________________

6. Deposit Date (DD/MM/YYYY) : ________________________________

6. Deposit Date (DD/MM/YYYY) : ________________________________

7. Journal No. : ___________________ __________________________________

7. Journal No. : ___________________ __________________________________

7. Journal No. : ___________________ __________________________________

8. Application Fee : Rs. _____________________________________________

8. Application Fee : Rs. _____________________________________________

8. Application Fee : Rs. _____________________________________________

In words : ___ _______________________________________________

In words : ___ _______________________________________________

In words : ___ _______________________________________________

Branch Receipt Stamp

Signature of Applicant

Branch Receipt Stamp

Signature of Applicant

Branch Receipt Stamp

Signature of Applicant