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(Applicant Copy) (BEML Copy) (BANK Copy)

STATE BANK OF INDIA STATE BANK OF INDIA STATE BANK OF INDIA


Challan for remittance of Application Fee For BEML LIMITED, Challan for remittance of Application Fee For BEML LIMITED, Challan for remittance of Application Fee For BEML LIMITED,
Bangalore Bangalore Bangalore
Recruitment agaisnt Advt No. KP/S/03/2011 Recruitment agaisnt Advt No. KP/S/03/2011 Recruitment agaisnt Advt No. KP/S/03/2011
BEML A/C No. 31006750220 At SBI Code No.6861 BEML A/C No. 31006750220 At SBI Code No.6861 BEML A/C No. 31006750220 At SBI Code No.6861

Details to be filled by the Applicant. Details to be filled by the Applicant. Details to be filled by the Applicant.

Mr/Ms.__________________________________________ Mr/Ms.__________________________________________ Mr/Ms.__________________________________________

Date of Birth : Date of Birth : Date of Birth :


(dd/mm/yyyy) (dd/mm/yyyy) (dd/mm/yyyy)
Category : Category : Category :
(GEN/OBC) (GEN/OBC) (GEN/OBC)

Position Applied for______________________________ Position Applied for______________________________ Position Applied for______________________________

Details to be filled by Branch. Details to be filled by Branch. Details to be filled by Branch.

Branch Name: Branch Name: Branch Name:

Branch Code: Branch Code: Branch Code:

Journal no: Journal no: Journal no:

Date of Remittance : Date of Remittance : Date of Remittance :

Employment Application Fee : Rs. 100/- Employment Application Fee : Rs. 100/- Employment Application Fee : Rs. 100/-
Bank Charges : Rs.20/- Bank Charges : Rs.20/- Bank Charges : Rs.20/-
Total Payable : Rs.120/- (Rupees One hundred twenty Only) Total Payable : Rs.120/- (Rupees One hundred twenty Only) Total Payable : Rs.120/- (Rupees One hundred twenty Only)

Signature of the Signature of the authorised Signature of the Signature of the authorised Signature of the Signature of the authorised
Remitter Offical with Branch Seal Remitter Offical with Branch Seal Remitter Offical with Branch Seal

For the fee receiving branch of SBI For the fee receiving branch of SBI For the fee receiving branch of SBI
1) Branch should collect Rs. 20 extra (total of Rs.100+Rs.20 = Rs. 120/- 1) Branch should collect Rs. 20 extra (total of Rs.100+Rs.20 = Rs. 1) Branch should collect Rs. 20 extra (total of Rs.100+Rs.20 = Rs. 120/-
) from the remitter as bank charges and to be credited to the branch 120/-) from the remitter as bank charges and to be credited to the ) from the remitter as bank charges and to be credited to the branch
commision account. branch commision account. commision account.
2) Branch should write the Branch Name, Branch Code, Journal No. & 2) Branch should write the Branch Name, Branch Code, Journal No. 2) Branch should write the Branch Name, Branch Code, Journal No. &
date of remittance invariably and hand over both the BEML's Copy & & date of remittance invariably and hand over both the BEML's date of remittance invariably and hand over both the BEML's Copy &
applicant's copy to the remitter duly signed. Copy & applicant's copy to the remitter duly signed. applicant's copy to the remitter duly signed.

Note: Last date of Remitting Application Fee is 16.02.2011 Note: Last date of Remitting Application Fee is 16.02.2011 Note: Last date of Remitting Application Fee is 16.02.2011

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