CILs Copy

Applicants Copy

Banks Copy

COAL INDIA LIMITED

COAL INDIA LIMITED

COAL INDIA LIMITED

STATE BANK OF INDIA

STATE BANK OF INDIA

STATE BANK OF INDIA

KOLKATA, WEST BENGAL

KOLKATA, WEST BENGAL

KOLKATA, WEST BENGAL

POWER JYOTI ACCOUNT NO: 32306580317

POWER JYOTI ACCOUNT NO: 32306580317

POWER JYOTI ACCOUNT NO: 32306580317

CAG BRANCH, KOLKATA

nd
Reliance House, 2 Floor, 34 J.L.Nehru Road, Kolkata-700071

CAG BRANCH, KOLKATA

nd
Reliance House, 2 Floor, 34 J.L.Nehru Road, Kolkata-700071

CAG BRANCH, KOLKATA

nd
Reliance House, 2 Floor, 34 J.L.Nehru Road, Kolkata-700071

(To be filled by the candidate)

(To be filled by the candidate)

(To be filled by the candidate)

DISCIPLINE:

DISCIPLINE:

DISCIPLINE:

APPLICANT NAME:

APPLICANT NAME:

APPLICANT NAME:

FATHERS NAME:

FATHERS NAME:

FATHERS NAME:

DATE OF BIRTH:

DATE OF BIRTH:

DATE OF BIRTH:

SBI BRANCH NAME:

SBI BRANCH NAME:

SBI BRANCH NAME:

SBI BRANCH CODE:

SBI BRANCH CODE:

SBI BRANCH CODE:

DATE OF DEPOSIT:

DATE OF DEPOSIT:

DATE OF DEPOSIT:

FEE DETAILS (in Rs.):

FEE DETAILS (in Rs.):

FEE DETAILS (in Rs.):

APPLICATION FEES: Rs. 500/-

APPLICATION FEES: Rs. 500/-

APPLICATION FEES: Rs.500/-

BANK CHARGES:Rs.25/-

BANK CHARGES:Rs.25/-

BANK CHARGES:Rs.25/-

TOTAL:Rs.525/-

TOTAL:Rs.525/-

TOTAL:Rs.525/-

TOTAL AMOUNT IN WORDS: Five Hundred Twenty Five Rupees Only

TOTAL AMOUNT IN WORDS: Five Hundred Twenty Five Rupees Only

SIGNATURE OF REMITTER

SIGNATURE OF REMITTER

Date:

JOURNAL NO. (HOST TRACE NO.):

Place:

SIGNATURE OF THE
AUTHORIZED OFFICIAL WITH THE BANK SEAL

SIGNATURE OF REMITTER

TO BE FILLED BY BANK

TO BE FILLED BY BANK
JOURNAL NO. (HOST TRACE NO.):

TOTAL AMOUNT IN WORDS: Five Hundred Twenty Five Rupees Only

Date:
Place:

TO BE FILLED BY BANK
JOURNAL NO. (HOST TRACE NO.):

SIGNATURE OF THE
AUTHORIZED OFFICIAL WITH THE BANK SEAL

Date:
Place:

SIGNATURE OF THE
AUTHORIZED OFFICIAL WITH THE BANK SEAL

IMPORTANT INSTRUCTIONS:

IMPORTANT INSTRUCTIONS:

IMPORTANT INSTRUCTIONS:

1. Candidates should send CIL copy of this challan along with the
printed online application form to CIL & keep applicant copy of this
challan form for future reference
2. Candidate should ensure that the Journal No.(Host Trace No. )is
allotted by Bank for this payment.
3. The Bank should not do bench posting or trickle feed. Journal
No.(Host Trace No.) should be entered by the Bank.

1. Candidates should send CIL copy of this challan along with the
printed online application form to CIL & keep applicant copy of this
challan form for future reference
2. Candidate should ensure that the Journal No.(Host Trace No. )is
allotted by Bank for this payment.
3. The Bank should not do bench posting or trickle feed. Journal
No.(Host Trace No.) should be entered by the Bank.

Candidates should send CIL copy of this challan along with the printed
online application form to CIL & keep applicant copy of this challan
form for future reference
2. Candidate should ensure that the Journal No.(Host Trace No. )is
allotted by Bank for this payment.
3. The Bank should not do bench posting or trickle feed. Journal
No.(Host Trace No.) should be entered by the Bank.