(Applicant Copy)

(BARC Copy)

(Bank Copy)

OCES/DGFS-2015 - Application Fee

Payment,
COLLECTION A/C NO.
31519633821.
CANDIDATE DETAILS
Ref. ID 480827
:

OCES/DGFS-2015 - Application Fee

Payment,
COLLECTION A/C NO.
31519633821.
CANDIDATE DETAILS
Ref. ID 480827
:

OCES/DGFS-2015 - Application Fee

Payment,
COLLECTION A/C NO.
31519633821.
CANDIDATE DETAILS
Ref. ID 480827
:

Name :AKSHIT SAMADHIYA

Name :AKSHIT SAMADHIYA

Name :AKSHIT SAMADHIYA

DOB : 14/07/1992

DOB : 14/07/1992

DOB : 14/07/1992

BRANCH DETAILS
Branch
Name:
Branch
Code:

BRANCH DETAILS
Branch
Name:
Branch
Code:

BRANCH DETAILS
Branch
Name:
Branch
Code:

Journal No:

Journal No:

Journal No:

Date of
Remittance: DD M M Y Y
Application
Rs. 250/Fee:
Bank
Charges if Rs.
any:
Total:
Rs.

Date of
Remittance: DD M M Y Y
Application
Rs. 250/Fee:
Bank
Charges if Rs.
any:
Total:
Rs.

Date of
Remittance: DD M M Y Y
Application
Rs. 250/Fee:
Bank
Charges if Rs.
any:
Total:
Rs.

In Words:

In Words:

In Words:

Signature of the
Remitter

Signature of the
authorised
Official with
Branch Seal

The Application fee can be remitted on

any date between
6th Jan 2015 and 6th Feb 2015.
SC/ST/Female/PWD/DODPKIA
Candidates are exempted from Fee
Payment.

Signature of the
Remitter

Signature of the
authorised
Official with
Branch Seal

The Application fee can be remitted on

any date between
6th Jan 2015 and 6th Feb 2015.
SC/ST/Female/PWD/DODPKIA
Candidates are exempted from Fee
Payment.
Print

Signature of the
Remitter

Signature of the
authorised
Official with
Branch Seal

The Application fee can be remitted on

any date between
6th Jan 2015 and 6th Feb 2015.
SC/ST/Female/PWD/DODPKIA
Candidates are exempted from Fee
Payment.