CHALLAN FOR IDBI BANK LTD.

Collecting Branch's copy Candidate's copy for submission to HRD - IDBI Bank Ltd. Candidate's copy
SRD- Post Advt in September 2010 SRD- Post Advt in September 2010 SRD- Post Advt in September 2010
Post Applied: Assistant Manager /Manager / Assistant General Manager Post Applied: Assistant Manager /Manager / Assistant General Manager Post Applied: Assistant Manager /Manager / Assistant General Manager
Unique No. Unique No. Unique No.
(To be entered by Bank) (To be entered by Bank) (To be entered by Bank)

IDBI BANK LTD. IDBI BANK LTD. IDBI BANK LTD.

Name of Banker : IDBI BANK Post Applied : Name of Banker : IDBI BANK LTD. Post Applied : Name of Banker : IDBI BANK LTD. Post Applied :
LTD.

Amount may be deposited in any branch of IDBI BANK LTD Amount may be deposited in any branch of IDBI BANK LTD Amount may be deposited in any branch of IDBI BANK LTD
A/C No. 126102000000408 Branch Code : 126, Cuffe Parade, Mumbai A/C No. 126102000000408 Branch Code : 126, Cuffe Parade, Mumbai A/C No. 126102000000408 Branch Code : 126, Cuffe Parade, Mumbai
Date of Receipt : Date of Receipt : Date of Receipt :
Candidate's Name : * Candidate's Name : * Candidate's Name : *

Address : Address : Address :

Contact No. Contact No. Contact No.

Category: OBC/SC/ST/PWD Category: OBC/SC/ST/PWD Category: OBC/SC/ST/PWD
Amount in figure : # Rs. Amount in figure : # Rs. Amount in figure : # Rs.
(in words :) Rupees : (in words :) Rupees : (in words :) Rupees :

# Application Fee for OBC category : Rs.400/- & SC/ST/PWD category : # Application Fee for OBC category : Rs.400/- & SC/ST/PWD category : Rs.75/- # Application Fee for OBC category : Rs.400/- & SC/ST/PWD category : Rs.75/-
Rs.75/-

Signature of Bank's Official Signature of Candidate/Depositor Signature of Bank's Official Signature of Candidate/Depositor Signature of Bank's Official Signature of Candidate/Depositor

* (Name should be indicated in the following manner and it should be entered in the same manner in the On-Line application)

(Surname) (First Name) (Middle name )