You are on page 1of 1

Voucher - Bank Copy

The Catholic Syrian Bank Ltd.


(Please tick the appropriate Box)
Clerical Cadre

General/OBC ---- ` 100.00

Junior Management Officer

General/OBC ---- ` 200.00

SC/ST

---- ` 50.00

...............................................................................
......................................................................... `
Rupees (in words) :

Gender

*:

Male

Female

Date of Birth * (dd/mm/yyyy):

..../..../.......

Tel / Mobile * :

Name and Address of the


Candidate With Pin code *

Email ID *

Signature of the Remitter *


To be filled by the Bank
Branch Code & Name

Date

Batch No

Signature
Cashier
Officer

Bank Stamp

-----------------------------------------------------------------------------------------------------------------

The Catholic Syrian Bank Ltd.

Voucher - Candidate Copy

(Please tick the appropriate Box)


General/OBC ---- ` 100.00

Clerical Cadre

General/OBC ---- ` 200.00

Junior Management Officer

SC/ST

---- ` 50.00

...............................................................................
......................................................................... `
Rupees (in words) :

Gender

*:

Male

Female

Date of Birth * (dd/mm/yyyy):

..../..../.......

Tel / Mobile * :

Name and Address of the


Candidate With Pin code *

Email ID *

Signature of the Remitter *


To be filled by the Bank
Branch Code & Name

Date

Batch No

Signature
Cashier
Officer

Bank Stamp

* Mandatory
Note : 1. A copy of this challan after remittance to be retained by the candidate for record purposes.
2. Original of the challan to be handed over at the test center on the day of the Test along with the call letter.

You might also like