ASSAM PUBLIC SERVICE COMMISSION

ASSAM PUBLIC SERVICE COMMISSION

Fee Payment

Fee Payment

State Bank of India : Dispur Branch

Use CBS Screen No:

8877

Fee Type

903
SBI Power Jyoti Account Number : 33043785507

State Bank of India : Dispur Branch

Use CBS Screen No:

8877

Fee Type

903

SBI Power Jyoti Account Number : 33043785507

BANK'S COPY
(FEE TO BE DEPOSITED IN ANY BRANCH OF
STATE BANK OF INDIA IN CASH ONLY)

CANDIDATE'S COPY
(FEE TO BE DEPOSITED IN ANY BRANCH OF
STATE BANK OF INDIA IN CASH ONLY)

Post/Exam. Applied

Combined Competitive
Preliminary Examination-

Father's Name:

BRAJA GOPAL SAHA

Father's Name:

BRAJA GOPAL SAHA

Date Of Birth:

27-03-1980

Date Of Birth:

27-03-1980

Category

OBC/MOBC

Category

OBC/MOBC

(OC/OBC/MOBC/SC/STP/STH)

Combined Competitive
Preliminary Examination-

(OC/OBC/MOBC/SC/STP/STH)

BANK ENTRY
Candidate's Name:

Post/Exam. Applied

ARUP KUMAR SAHA

BANK ENTRY
Candidate's Name: *
ARUP KUMAR SAHA

Registration No:

02111115385

Registration No:

02111115385

Application Fee:

Rs: 50.00

Application Fee:

Rs: 50.00

Journal Number

Journal Number

N.B.: Journal Number contains only Degits(0-9)

N.B.: Journal Number contains only Degits(0-9)

(To be written in legible handwriting)

(To be written in legible handwriting)

Fields marked with(*) are Mandatory.

Fields marked with(*) are Mandatory.

Amount in Words: Rs

Amount in Words:

Signature of the Candidate

Signature of the Candidate

Bank & Branch
Branch Code No :
Date of Deposit:

Bank & Branch

Branch Code No:
Date of Deposit:
Signature of Bank's Official with
Seal

IMPORTANT INSTRUCTIONS TO SBI

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).
5.Payment of Bank Charges is not necessary.

Signature of Bank's Official with

Seal
IMPORTANT INSTRUCTIONS TO SBI BRANCHES
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).
5.Payment of Bank Charges is not necessary.