KARNATAKA PUBLIC SERVICE COMMISSION GOVT OF KARNATAKA

Application Id Bank Journal No: Journal Date: Post Applied: Name: Assistants / First Division Assistants NAGARATHNA K N Application Id Bank Journal No: Journal Date: Post Applied: Name: F0094919

TO BE SENT TO THE SBM G-SEVA BRANCH KARNATAKA PUBLIC SERVICE COMMISSION GOVT OF KARNATAKA
F0094919 Application Id Bank Journal No: Journal Date: Assistants / First Division Assistants NAGARATHNA K N Post Applied: Name:

CANDIDATE COPY

KARNATAKA PUBLIC SERVICE COMMISSION GOVT OF KARNATAKA
F0094919

Paid into the credit of KPSC A/c No. 64053882405, State Bank of Mysore A/c No. 62099414405, State Bank of Hyderabad Particulars Total Rs. Three Hundred Only Amount

Assistants / First Division Assistants NAGARATHNA K N

Paid into the credit of KPSC 300.00 A/c No. 64053882405, State Bank of Mysore A/c No. 62099414405, State Bank of Hyderabad Amount

Paid into the credit of KPSC A/c No. 64053882405, State Bank of Mysore A/c No. 62099414405, State Bank of Hyderabad Particulars 300.00 Total Rs. Three Hundred Only Amount 300.00

Signature of Remitter/Applicant Particulars Total Receive the above amount Rs.300.00 in words Rs. Three Hundred Only Rs. Three Hundred Only

Date & Seal:

Signature of receiving Authority

Note: Accepted at the notified Branches of SBM & SBH only. if paid in any other branches/ banks, application will Date & Seal: Signature of receiving Authority be rejected. Note: Accepted at the notified Branches of SBM & SBH LAST DATE FOR PAYMENT OF FEE - 09-03-2011 only. if paid in any other branches/ banks, application will be rejected. LAST DATE FOR PAYMENT OF FEE - 09-03-2011

Signature of Remitter/Applicant Signature of Remitter/Applicant Receive the above amount Rs.300.00 in words Receive the above amount Rs.300.00 in words Rs. Three Hundred Only Rs. Three Hundred Only

Date & Seal:

Signature of receiving Authority

Note: Accepted at the notified Branches of SBM & SBH only. if paid in any other branches/ banks, application will be rejected. LAST DATE FOR PAYMENT OF FEE - 09-03-2011

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