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CAUTION: USE "FCMBR" MENU OPTION IN FINACLE INSTEAD OF

"TM"

(Bank Copy)

(Institute Copy)

Punjab National Bank

DIST. NO.

(Applicant Copy)

Punjab National Bank

Branch

DIST. NO.

Punjab National Bank

Branch

Institute ID

UPCLD

M/s Uttarakhand Power


Corporation Ltd,
Dehradun
GEN( )
RES( )

Collection Code
Application No

Institute ID

Applicant Name

Date of Deposit

Particulars of fees

Amount in Rs

Particulars of fees

302112

Applicant Name

RICHA VERMA

Mobile No.

Assistant Engineer (Trainee) E &


M

Date of Deposit

M/s Uttarakhand Power


Corporation Ltd,
Dehradun
GEN( )
RES( )

Application No

8860903989

Applied
Category

UPCLD

Collection Code

RICHA VERMA

Mobile No.

Assistant Engineer (Trainee) E &


M

Institute ID

302112

Applicant Name

8860903989

Applied
Category

M/s Uttarakhand Power


Corporation Ltd,
Dehradun
GEN( )
RES( )

Application No

RICHA VERMA

Mobile No.

UPCLD

Collection Code

302112

DIST. NO.

Branch

Amount in Rs

8860903989

Applied
Category

Assistant Engineer (Trainee) E &


M

Date of Deposit

Particulars of fees

Rs 400/-

Application Fee

Rs 400/-

Application Fee

Rs 400/-

Service Charges

Rs 50/-

Service Charges

Rs 50/-

Service Charges

Rs 50/-

Total Amount

Rs 450/-

Total Amount

Rs 450/-

Total Amount

Rs 450/-

Chq No & Date

Details of Cash:
Amount

Details of Note

Chq No & Date

Details of Cash:
Amount

Details of Note

Candidate's Signature

Chq No & Date

Amount

Details of Note

1000 x

1000 x

500 x

500 x

500 x

100 x

100 x

100 x

50 x

50 x

50 x

20 x

20 x

20 x

10 x

10 x

10 x

5x

5x

5x

2x

2x

2x

1x

1x

1x

Coins

Coins

Coins

TOTAL

TOTAL
Amt in Words

Cashier

Rs

1000 x

Amt in Words
Cashier's
Transfer Scroll

Rs

Passing
Authority

Cashier's
Transfer Scroll

Amount in Rs

Application Fee

Details of Cash:

TOTAL
Amt in Words

Cashier

Candidate's Signature

Passing
Authority

Cashier's
Transfer Scroll

Cashier

Candidate's Signature

Passing
Authority

Rs

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