You are on page 1of 2

Branch Copy !

Candidate’s Copy
!
!
!
UCO BANK ! UCO BANK
Recruitment of Probationary Officers 2010 ! Recruitment of Probationary Officers 2010
Challan For Depositing Application Fee / Postage Charges ! Challan For Depositing Application Fee / Postage Charges
To be filled in by candidate ! To be filled in by candidate
T
Candidate’s Name : Shri/Smt./Kum. E Candidate’s Name : Shri/Smt./Kum.
A
Address of the candidate with pin code R Address of the candidate with pin code
and Cell and Tel No. ! and Cell and Tel No.
!
!
Category * SC/ST/PC – Only Postage Rs. 50/- ! Category * SC/ST/PC – Only Postage Rs. 50/-
GEN/OBC – Application Fee & Postage Rs. 400/- ! GEN/OBC – Application Fee & Postage Rs. 400/-
*Tick whichever is applicable F *Tick whichever is applicable
R
To be filled in by Cash Receiving Branch O To be filled in by Cash Receiving Branch
Account Name : Probationary Officer Recruitment Fees M Account Name : Probationary Officer Recruitment Fees
!
Account No : 1) 17840210000502 2) 19040210000366 ! Account No : 1) 17840210000502 2) 19040210000366
3) 19080210000854 4) 19450210000885 ! 3) 19080210000854 4) 19450210000885
(Please Tick Account Number in which fee is deposited) ! (Please Tick Account Number in which fee is deposited)
!
UCO Bank Branch Name : H UCO Bank Branch Name :
E
Branch Code No: R Branch Code No:
E
Transaction ID : ________ ! Transaction ID : ________
(Alphanumeric of 3 to 9 characters) ! (Alphanumeric of 3 to 9 characters)
!
Date of Deposit : ! Date of Deposit :
!
Application Fee / Postage Rs. ! Application Fee / Postage Rs.
(Rupees………………………………………………………………………….. only) ! (Rupees……………………………………………………………………..………….. only)
!
!
Signature of the Candidate Authorised Signature of the Bank Official !
cum Depositor with Cash Receiving stamp ! Signature of the Candidate Authorised Signature of the Bank Official
cum Depositor with Cash Receiving stamp

You might also like