LAST DATE FOR DEPOSIT OF FEES: 15.03.2011 LAST DATE FOR DEPOSIT OF FEES:15.03.

LAST DATE FOR DEPOSIT OF FEES:15.03.2011 LAST DATE FOR DEPOSIT OF FEES: 15.03.2011
BRANCH COPY CANDIDATE’S COPY EXAMINATION HALL COPY
ALLAHABAD BANK ALLAHABAD BANK ALLAHABAD BANK
FEE PAYMENT CHALLAN FEE PAYMENT CHALLAN FEE PAYMENT CHALLAN
(to be filled in by the candidate in his/her own handwriting) (to be filled in by the candidate in his/her own handwriting) (to be filled in by the candidate in his/her own handwriting)
Bank A/C Name: Allahabad Bank Clerical Bank A/C Name: Allahabad Bank Clerical Bank A/C Name: Allahabad Bank Clerical
(S.W.O-‘A’) Recruitment Project: 2011-12 (S.W.O-‘A’) Recruitment Project: 2011-12 (S.W.O-‘A’) Recruitment Project: 2011-12
CBS Account No: CBS Account No: CBS Account No:
5 0 0 4 8 7 2 0 3 4 1 5 0 0 4 8 7 2 0 3 4 1 5 0 0 4 8 7 2 0 3 4 1

NAME IN FULL:………………………………… NAME IN FULL:………………………………… NAME IN FULL:…………………………………

(Capital Letters) (Capital Letters) (Capital Letters)

Category*: SC/ST/PC/EXSM-only postage ` 50/- Category*: SC/ST/PC/EXSM-only postage ` 50/- Category*: SC/ST/PC/EXSM-only postage ` 50/-

Category*: OBC/GEN `300/- Category*: OBC/GEN `300/- Category*: OBC/GEN `300/-

(Application Fee & Postage) (Application Fee & Postage) (Application Fee & Postage)
Date Date Date
of 1 9 of 1 9 of 1 9
Birth Birth Birth
D D M M Y Y Y Y D D M M Y Y Y Y D D M M Y Y Y Y

Branch Name:………………………………….. Branch Name:………………………………….. Branch Name:…………………………………..

(Capital Letters) (Capital Letters) (Capital Letters)
#Branch Code…………………………. #Branch Code…………………………. #Branch Code………………………….
#Journal No:…………………………… #Journal No:…………………………… #Journal No:……………………………
Deposit Date: ………… Total Fee `. ……../- Deposit Date: ………… Total Fee `. ……../- Deposit Date: ………… Total Fee `. ……../-
(Rupees…………………………………..only) (Rupees…………………………………..only) (Rupees…………………………………..only)

………………………. ………………………. ……………………….

Authorized Signatory Authorized Signatory Authorized Signatory
Signature No…………. Signature No…………. Signature No………….
Branch Stamp Branch Stamp Branch Stamp
………………… ………………… …………………
Applicant’s Signature Applicant’s Signature Applicant’s Signature
Name & Address …………………………………... Name & Address …………………………………... Name & Address …………………………………...
……………………………………………………….…. ……………………………………………………….…. ……………………………………………………….….
…………………………………………………….……. …………………………………………………….……. …………………………………………………….…….
Tel./Mobile No………………………………….…….. Tel./Mobile No ………………………………….…… Tel./Mobile No ………………………………….……..
*Tick(V) whichever is applicable. *Tick(V) whichever is applicable. *Tick(V) whichever is applicable.
# Fee receiving branch is advised to write clearly & legibly the Journal No. and
# Fee receiving branch is advised to write clearly & legibly the Journal No. and # Fee receiving branch is advised to write clearly & legibly the Journal No. Branch Code No. above invariably.
Branch Code No. above invariably. and Branch Code No. above invariably.

(EXAMINATION HALL COPY WILL BE REQUIRED TO BE
SUBMITTED BY THE CANDIDATE AT THE TIME OF WRITTEN TEST.
OTHERWISE THE CANDIDATE WILL NOT BE ALLOWED TO
APPEAR IN THE TEST) CANDIDATE’S COPY IS TO BE RETAINED BY
CANDIDATE.
(EXAMINATION HALL COPY WILL BE REQUIRED TO BE
SUBMITTED BY THE CANDIDATE AT THE TIME OF WRITTEN TEST.
OTHERWISE THE CANDIDATE WILL NOT BE ALLOWED TO
APPEAR IN THE TEST) CANDIDATE’S COPY IS TO BE RETAINED BY
CANDIDATE.
(THIS CHALLAN WILL BE REQUIRED TO BE SUBMITTED BY
THE CANDIDATE AT THE TIME OF WRITTEN TEST.
OTHERWISE THE CANDIDATE WILL NOT BE ALLOWED TO
APPEAR IN THE TEST)