CHALLAN FORM (CASH VOUCHER)-NO.

-I
BRANCH COPY

Punjab Gramin Bank

CHALLAN FORM (CASH VOUCHER)-No.-I

CANDIDATES COPY

Punjab Gramin Bank

Self
signed
Photo

Application Fee For Recruitment of Officer

Scale I, II, III & Office Assistant in PUNJAB GRAMIN BANK

Application Fee For Recruitment of Officer

Scale I, II, III & Office Asstt. in PUNJAB GRAMIN BANK

Account No. :85012100058408 (B.O. Kapurthala)

Branch Name .
Candidates Name : Mr./Mrs./Kum.

Account No. : 85012100058408 (B.O. Kapurthala)

Branch Name .
Candidates Name : Mr./Mrs./Kum.

Category* :SC/ST/PWD/EXS- postage+ISO Ch- 100/- (for post code

01,02,03,04)
OBC/GEN Appl. Fee, Postage & ISO Ch. - 500/- (for post code 01,02,03,04 )

Category* : :SC/ST/PWD/EXS- postage+ISO Ch- 100/- (for post code

01,02,03,04)
OBC/GEN Appl. Fee, Postage & ISO Ch. - 500/- (for post code 01,02,03,04 )

Date of Birth :

Date of Birth :

Banks Branch Name:

Banks Branch Name:

Branch Code No.#:

(Sol I.D.)
Transaction I.D.No. #: (4-10 Digits)

Branch Code No.#:

(Sol I.D.)
Transaction I.D.No. #: (4-10 Digits)
Deposit Date
:

Deposit Date

Post Applied for (Please Tick in appropriate Box) Officer Scale-III

Officer Scale-II

Officer Scale-I

Office Assistant

Application Fee/Postage/ISO Charges `

(Rupees in words.only)

Signature of Depositor
Address :.

Phone/Mob.No

Authorized Signatory
Stamp

Post Applied for (Please Tick in appropriate Box) Officer Scale-III

Officer Scale-II

Officer Scale-I

Office Assistant

Application Fee/Postage/ISO Charges `

(Rupees in words.only)
Signature of Depositor
Address :.

Phone/Mob.No

Authorized Signatory
Stamp

*Tick whichever is applicable.

# Fee receiving branch is advised to write the Transaction I.D. No. and
*Tick whichever is applicable.
# Fee receiving branch is advised to write the Transaction I.D. No. and Branch Code no.(Sol I.D.) above invariably.
This part of the Challan will be required to be submitted by the candidate at the time of
Branch Code no.(Sol I.D.) above invariably.
written test along with a photograph, otherwise the candidate will not be allowed to
appear at the examination

CHALLAN FORM (CASH VOUCHER)-No.-2

BRANCH COPY

Punjab National Bank

CHALLAN FORM (CASH VOUCHER)-No.-2

CANDIDATES COPY

Punjab National Bank

Self
signed
Photo

Application Fee For Recruitment of Officer

ScaleI, II, III& Office Assistant in
PUNJAB GRAMIN BANK

Application Fee For Recruitment of Officer

ScaleI, II, III & Office Assistant in
PUNJAB GRAMIN BANK

Account No. :0258002100039666 ( B.O.Jalandhar Road,

Kapurthala)
Branch Name .
Candidates Name : Mr./Mrs./Kum.

A/cNo. : 0258002100039666 ( B.O.Jalandhar Rd, Kapurthala)

Branch Name .
Candidates Name : Mr./Mrs./Kum.

Category* SC/ST/PWD/EXS- postage+ISO Ch- 100/- (for post code

01,02,03,04)
OBC/GEN Appl. Fee, Postage & ISO Charges.- 500/- (for post code 01,02,03,04 )

Category* SC/ST/PWD/EXS- postage+ISO Ch- 100/- (for post code 01,02,03,04)

OBC/GEN Appl. Fee, Postage & ISO Ch. 500/- (for post code 01,02,03,04 )

Date of Birth :

Date of Birth :

Banks Branch Name:

Banks Branch Name:

Branch Code No.#:

(Sol I.D.)
Transaction I.D.No. #: (4-10 Digits)

Branch Code No.#:

(Sol I.D.)
Transaction I.D.No. #: (4-10 Digits)
Deposit Date

Deposit Date

Post Applied for (Please Tick in appropriate Box) Officer Scale-III

Post Applied for (Please Tick in appropriate Box) Officer Scale-III

Officer Scale-II

Officer Scale-II

Application Fee/Postage/ISO Charges.

(Rupees in words.only)

Officer Scale-I

Office Assistant

Application Fee/Postage/ISO Charges

(Rupees in words.only)

Signature of Depositor
Address :.

Phone/Mob.No

Authorized Signatory
Stamp

*Tick whichever is applicable.

# Fee receiving branch is advised to write the Transaction I.D. No. and
Branch Code no.(Sol I.D.) above invariably.

Officer Scale-I

Office Assistant

Signature of Depositor
Authorized Signatory
Address :.
Stamp

Phone/Mob.No
*Tick whichever is applicable.
# Fee receiving branch is advised to write the Transaction I.D. No. and
Branch Code no.(Sol I.D.) above invariably.
This part of the Challan will be required to be submitted by the candidate at the time of
written test along with a photograph, otherwise the candidate will not be allowed to
appear at the examination