ASSAM PUBLIC SERVICE COMMISSION

Fee Payment Challan

State Bank of India : Dispur Branch
BANK'S COPY
SBI Power Jyoti Account Number : 33043785507
Post/Exam. Applied for
Application Fee:
Candidate's Name:
Father's Name:
Date Of Birth:
Category(OC/OBC/MOB
C/SC/ST)
Signature of the Candidate
Bank & Branch Name:
Branch Code No :
Date of Deposit:
Signature of Bank's Official with
Seal
ASSAM PUBLIC SERVICE COMMISSION
Fee Payment Challan
State Bank of India : Dispur Branch
CANDIDATE'S COPY
SBI Power Jyoti Account Number : 33043785507
Post/Exam. Applied for
Application Fee:
Candidate's Name:
Father's Name:
Date Of Birth:
Category(OC/OBC/MOB
C/SC/ST)
Signature of the Candidate
Bank & Branch Name:
Branch Code No:
Date of Deposit:
Signature of Bank's Official with
Seal
Combined Competitive Preliminary
Examination
25.00
DIPSHIKHA DAS
RAKHAL DAS
16/11/1991
SC
Combined Competitive Preliminary
Examination
25.00
DIPSHIKHA DAS
RAKHAL DAS
16/11/1991
SC
Registration No:
06111719141
Rs:
Registration No:
Rs:
06111719141
Fee Type
Fee Type
Journal Number
Journal Number
Use CBS Screen No:
(FEE TO BE DEPOSITED IN ANY BRANCH OF
STATE BANK OF INDIA IN CASH ONLY)
Amount in Words: Rs
IMPORTANT INSTRUCTIONS TO SBI BRANCHES
Use CBS Screen No:
(FEE TO BE DEPOSITED IN ANY BRANCH OF
STATE BANK OF INDIA IN CASH ONLY)
Amount in Words: Rs
IMPORTANT INSTRUCTIONS TO SBI BRANCHES
8877
8877
903 903
BANK ENTRY
*
*
*
Fields marked with(*) are Mandatory.
*
(To be written in legible handwriting)
Fields marked with(*) are Mandatory.
BANK ENTRY
(To be written in legible handwriting)
*
*
*
*
1.To accept the challan by all the Branches is mandatory.
2.Please note to write the Journal Number in both copies of the challans.
3.Please Check Name of the Candidate positively after entering
Reference No. & Date of Birth.
4.In case of clarification,if any,Home branch,Dispur branch(03030) be
contacted on the following numbers:0361-2237801/2261356(Fax).
1.To accept the challan by all the Branches is mandatory.
2.Please note to write the Journal Number in both copies of the challans.
3.Please Check Name of the Candidate positively after entering
Reference No. & Date of Birth.
4.In case of clarification,if any,Home branch,Dispur branch(03030) be
contacted on the following numbers:0361-2237801/2261356(Fax).