BRANCH COPY CANDIDATE COPY

ALLAHABAD BANK ALLAHABAD BANK

FEE PAYMENT CHALLAN FEE PAYMENT CHALLAN
Title of A/C : Allahabad Bank Clerical Recruitment Project : 2010-11 Title of A/C : Allahabad Bank Clerical Recruitment Project : 2010-11
CBS Account No. 5 0 0 2 2 4 1 4 5 7 3 CBS Account No. 5 0 0 2 2 4 1 4 5 7 3

NAME IN FULL : …………………………….……………………. NAME IN FULL : …………………………….…………………….

(Capital Letters) (Capital Letters)
POST Name of the State Applied For POST Name of the State Applied For
CLERK-CUM-CASHIER CLERK-CUM-CASHIER
Category* : SC/ST/Physically Challenged/ Ex-Servicemen/ Category* : SC/ST/Physically Challenged/ Ex-Servicemen/
Disabled Exservicemen/ Dependants of Rs.50/- Disabled Exservicemen/ Dependants of Rs.50/-
Servicemen killed in action Servicemen killed in action
Category* : OBC/ GEN – Application Fee & Postage Rs.300/- Category* : OBC/ GEN – Application Fee & Postage Rs.300/-

Date Of Birth 1 9 Date Of Birth 1 9

D D M M D D M M
Branch Name : Branch Name :
(Capital Letters) ……………………………………….. (Capital Letters) ………………………………………..
Branch Type* : CBS NON – CBS Branch Type* : CBS NON – CBS
#Branch Code : ( 7 digit) #Branch Code : (7 digit)

#Journal / Scroll No. : ……………………. #Journal / Scroll No. : …………………….

Deposit Date : ……… Total Fee Rs. . ______/- Deposit Date : ……… Total Fee Rs. . ______/-
(Rupees………………………………only) (Rupees…………………………… only)
_____________________ ____________________ _____________________ ____________________
Applicant’s Signature Authorized Signatory Applicant’s Signature Authorized Signatory
Address : _________________________ Sign. No. Address : _________________________ Sign. No.
__________________________________ Branch Seal __________________________________ Branch Seal
__________________________________ __________________________________
__________________________________ __________________________________
Mobile /Phone No. _________________ Mobile /Phone No. _________________
* Tick ( \/ ) whichever is applicable. * Tick ( \/ ) whichever is applicable.
# Fee receiving branch is advised to write clearly & legibly the Journal / Scroll No. # Fee receiving branch is advised to write clearly & legibly the Journal / Scroll No.
and Branch Code No. above invariably. and Branch Code No. above invariably.
(THIS CHALLAN WILL BE REQUIRED TO BE SUBMITTED BY THE CANDIDATES AT (THIS CHALLAN WILL BE REQUIRED TO BE SUBMITTED BY THE CANDIDATES AT
THE TIME OF WRITTEN TEST OTHERWISE THE CANDIDATE WILL NOT BE THE TIME OF WRITTEN TEST OTHERWISE THE CANDIDATE WILL NOT BE
ALLOWED TO APPEAR IN THE TEST) ALLOWED TO APPEAR IN THE TEST)