Associate Banks of State Bank of India

Associate Banks of State Bank of India

(To be retained by the candidate and submitted at the time of written

s Name : Mr. / Mrs / Kum.

: 31700001145, 31699998625, 31700003175

SC / ST / PWD - Only Postage Rs 50/Others - Application Fee & Postage Rs 500/-

Candidates Name : Mr. / Mrs / Kum.

Account No

: 31700001145, 31699998625, 31700003175

Category* -

SC / ST / PWD - Only Postage Rs 50/Others - Application Fee & Postage Rs 500/-

h Name

SBI Branch Name

de No

Branch Code No

ournal No :
gits)

Deposit Journal No :
(7 to 10 digits)

ate

Deposit Date

Fee / Postage Rs. ..................................

Application Fee / Postage Rs. ..................................

..........................................................................................................only)

(Rupees .............................................................................................................o

of Depositer

Signature of Depositer

Authorized Signatory
Stamp

) whichever is applicable.
eiving branch is advised to write the Deposit Journal No. and branch
. above invariably.

Authorized Signatory
Stamp

* Tick ( ) whichever is applicable.

# Fee receiving branch is advised to write the Deposit Journal No. a
code no. above invariably.