BRANCH OFFICIALS TO CAREFULLY ENTER DETAILS AS

(ORIGINAL TO BE PRODUCED ALONG WITH THE CALL

BRANCHES ARE NOT PERMITTED TO DEBIT THESE ACCOUNTS
- CREDIT TO ANY ONE OF THE ACCOUNTS & TICK AGAINST THE
LETTER FOR WRITTEN TEST ) PHOTOCOPY MAY BE
ACCOUNT NO. IN WHICH THE FEES HAS BEEN DEPOSITIED RETAINED

BRANCH COPY APPLICANT'S COUNTERFOIL

SYNDICATE BANK SYNDICATE BANK

PROBATIONARY OFFICERS RECRUITMENT
PROJECT 2010-11
RECRUITMENT APPLICATION FEES PAYMENT CHALLAN
To be filled in by the BANK'S BRANCH
Branch Name
PROBATIONARY OFFICERS RECRUITMENT
PROJECT 2010-11
RECRUITMENT APPLICATION FEES PAYMENT CHALLAN
To be filled in by the BANK'S BRANCH
Branch Name

BIC No. BIC No.

1. 01111150000481 ( ) 1. 01111150000481 ( )
Credit to A/c No. Credit to A/c No.
(Please tick A/c No.) 2. 01111150000496 ( ) (Please tick A/c No.) 2. 01111150000496 ( )
3. 01111150000501 ( ) 3. 01111150000501 ( )
PAYMENT DATE PAYMENT DATE

BRANCH BRANCH
TRANSACTION ID TRANSACTION ID

To be filled in by the CANDIDATE To be filled in by the CANDIDATE

CATEGORY ( √ ) SC / ST / PWD OTHERS CATEGORY ( √ ) SC / ST / PWD OTHERS

FEES PAID Rs. Rs. FEES PAID Rs. Rs.

* CANDIDATE'S FULL NAME in BLOCK LETTERS: * CANDIDATE'S FULL NAME in BLOCK LETTERS:

(�
) Mr. / Mrs. / Ms. (�) Mr. / Mrs. / Ms.

_________________________________________________________ _________________________________________________________

* Applicant's Name & Signature on this Payment * Applicant's Name & Signature on this Payment
Challan & on the Application Form SHOULD BE Challan & on the Application Form SHOULD BE
IDENTICAL. IDENTICAL.
Candidate's Signature : ___________________________ Candidate's Signature : ___________________________

Mobile /Telephone No. (with STD Code) : Mobile /Telephone No. (with STD Code) :

Bank's Branch CASH RECEIVED Stamp Bank's Branch CASH RECEIVED Stamp

BANK'S AUTHORISED SIGNATORY BANK'S AUTHORISED SIGNATORY

1. BRANCH TO ENSURE THAT BRANCH NAME, BIC No., AMOUNT 1.BRANCH TO ENSURE THAT BRANCH NAME, BIC No., AMOUNT
PAYMENT DATE, and TRANSACTION ID & APPLICANT'S PAYMENT DATE, and TRANSACTION ID & APPLICANT'S
NAME ARE CORRECTLY & LEGIBLY NOTED IN THIS NAME ARE CORRECTLY & LEGIBLY NOTED IN THIS
CHALLAN. CHALLAN.
2. BRANCH TO CUT THIS PAYMENT CHALLAN INTO HALF 2. BRANCH TO CUT THIS PAYMENT CHALLAN INTO HALF
ALONG MID LINE, & HAND OVER APPLICANT'S ALONG MID LINE, & HAND OVER APPLICANT'S
COUNTERFOIL TO APPLICANT. RETAIN THE BANK'S COUNTERFOIL TO APPLICANT. RETAIN THE BANK'S
VOUCHER PORTION FOR BRANCH RECORDS. VOUCHER PORTION FOR BRANCH RECORDS.
( Fee accepted between08.06.2010 and 07.07.2010 only) ( Fee accepted between 08.06.2010 and 07.07.2010 only)