(Bank Copy) (LIC HFL Copy) (Candidates Copy)

Paid to A/c No. 910020027813429 Paid to A/c No. 910020027813429 Paid to A/c No. 910020027813429

LIC Housing Finance Ltd. LIC Housing Finance Ltd. LIC Housing Finance Ltd.
(Recruitment of Assistant) (Recruitment of Assistant) (Recruitment of Assistant)
Received from Received from Received from

Address Address Address

the Sum Rupees the Sum Rupees the Sum Rupees

Qty. Amount Qty. Amount Qty. Amount

100/- x 100/- x 100/- x

50/- x 50/- x 50/- x

20/- x 20/- x 20/- x

10/- x 10/- x 10/- x

5/- x 5/- x 5/- x

Total Total Total

Mobile No./Tel. No.: Mobile No./Tel. No.: Mobile No./Tel. No.:

TRANSACTION ID : TRANSACTION ID : TRANSACTION ID :

(to be filled in by Cashier) (to be filled in by Cashier) (to be filled in by Cashier)

Date : Date : Date :

Cashier Sign of Candidate Cashier Sign of Candidate Cashier Sign of Candidate