CASH (IST Copy) PAY-IN-SLIP CASH (2ND Copy) PAY-IN-SLIP CASH (3RD Copy) PAY-IN-SLIP

(To be retained by the BANK) (To be sent by Applicant to the Authority) (To be retained by the APPLICANT)

Remittance of Fee through Bank Challan is applicable only for Remittance of Fee through Bank Challan is applicable only for Remittance of Fee through Bank Challan is applicable only for
candidates applying ON-LINE candidates applying ON-LINE candidates applying ON-LINE

DIPP Competitive Examination, 2010 DIPP Competitive Examination, 2010 DIPP Competitive Examination, 2010
Designated Nodal Branch Designated Nodal Branch Designated Nodal Branch
CSIR Saving A/.c No.: CSIR Saving A/.c No.: CSIR Saving A/.c No.:
8 9 5 4 1 3 7 9 1 8 9 5 4 1 3 7 9 1 8 9 5 4 1 3 7 9 1

Detail of Fee Detail of Fee Detail of Fee

(please Tick fee, as applicable) (please Tick fee, as applicable) (please Tick fee, as applicable)
Category Amount Bank & Total Category Amount Bank & Total Category Amount Bank & Total
Postal Postal Postal
Charges Charges Charges

General/OBC Rs.100/- Rs.20/- Rs.120/- General/OBC Rs.100/- Rs.20/- Rs.120/- General/OBC Rs.100/- Rs.20/- Rs.120/-

To be filled in by the Applicant To be filled in by the Applicant To be filled in by the Applicant

Post Code No.: Centre Code No.: Post Code No.: Centre Code No.: Post Code No.: Centre Code No.:
Name (Block letters) : ……………………………………………… Name (Block letters) : ……………………………………………… Name (Block letters) : ………………………………………………
Address (Block letters): …………………………………………… Address (Block letters): …………………………………………… Address (Block letters): ……………………………………………
…………………………………………… …………………………………………… ……………………………………………
…………………………………………… …………………………………………… ……………………………………………

Deposit Amount : Date: Deposit Amount : Date: Deposit Amount : Date:

(in figure) (in figure) (in figure)
Deposit Amount ……………………………………………………. Deposit Amount ……………………………………………………. Deposit Amount …………………………………………………….
(in words) (in words) (in words)
Phone/Mobile Number: Phone/Mobile Number: Phone/Mobile Number:

APPLICANT SIGNATURE APPLICANT SIGNATURE APPLICANT SIGNATURE

For Bank Use Only For Bank Use Only For Bank Use Only

Received the above amount on……………………….(date) Received the above amount on……………………….(date) Received the above amount on……………………….(date)
Deposit Journal No……………………………………………. Deposit Journal No……………………………………………. Deposit Journal No…………………………………………….
Bank Name…………………………………………………….. Bank Name…………………………………………………….. Bank Name……………………………………………………..
Bank/Branch Code…………………………………………….. Bank/Branch Code…………………………………………….. Bank/Branch Code……………………………………………..
Branch Name/City……………………………………………… Branch Name/City……………………………………………… Branch Name/City………………………………………………

(Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank)
Note: 1. Bank name, Branch code and Branch Name/City must be Note: 1. Bank name, Branch code and Branch Name/City must be Note: 1. Bank name, Branch code and Branch Name/City must be
given by the Bank. given by the Bank. given by the Bank.
2. Bank is requested to accept deposits only upto 19.10.2010 3. Bank is requested to accept deposits only upto 19.10.2010 4. Bank is requested to accept deposits only upto 19.10.2010

As oer agreement with Indian Bank, West Patel Nagar, New Delhi all CBS As oer agreement with Indian Bank, West Patel Nagar, New Delhi all CBS As oer agreement with Indian Bank, West Patel Nagar, New Delhi all CBS
branches of Indian Bank & four branches of Oriental Bank of Commerce are branches of Indian Bank & four branches of Oriental Bank of Commerce are branches of Indian Bank & four branches of Oriental Bank of Commerce are
authorized to collect the fee. For details of bank branches, see the notification. authorized to collect the fee. For details of bank branches, see the notification. authorized to collect the fee. For details of bank branches, see the notification.