Pay-in-Slip for Recruitment

of Probationary Officers -2010

A Bank’s Copy

Payment can be made at any branch of Indian Bank Date: ______________

Candidate’s category ( Please tick the appropriate Box)
General/OBC ----- `400.00 – (Utility Company Code – 0004 --IB01:IB-PO2010-GEN-OBC)
SC/ST/PWD ----- ` 50.00 -- (Utility Company Code – 0004 – IB02:IB-PO2010-SC-ST-PWD)
Post Code : 1
Paying Branch Name
Rupees (in words): ___________________________________________________________
____________________________________________________ Rs.

Name and Address Mobile *:

of the Candidate
With Pincode Date of Birth*:

Signature of the depositor

* Mandatory
* *For Bank’s Use (not to be filled in by the Candidate).
Deposit Journal No: Signature of the Cashier

Bank Stamp with Branch code and Date

Pay-in-Slip for Recruitment

of Probationary Officers -2010
A Candidate’s Copy

Payment can be made at any branch of Indian Bank Date: ______________

Candidate’s category ( Please tick the appropriate Box)
General/OBC ----- `400.00 – (Utility Company Code – 0004 IB01:IB-PO2010-GEN-OBC)
SC/ST/PWD ----- ` 50.00 -- (Utility Company Code – 0004 – IB02:IB-PO2010-SC-ST-PWD)
Post Code : 1
Paying Branch Name
Rupees (in words): ___________________________________________________________
____________________________________________________ Rs.

Name and Address Mobile *:

of the Candidate
With Pincode Date of Birth*:

Signature of the depositor

* Mandatory
* *For Bank’s Use (not to be filled in by the Candidate).
Deposit Journal No: Signature of the Cashier

Bank Stamp with Branch code and Date

Note: 1. A copy of this challan after remittance to be retained by the candidate for record purposes.
. 2. Original of the challan to be handed over at the test center on the day of the Test along with the call letter.