Fee Payment Challan

Copy 1 of 3

APPLICATION FEE / POSTAL CHARGES PAYMENT CHALLAN BRANCH COPY

Fee Payment Challan Copy 2 of 3 APPLICATION FEE / POSTAL CHARGES PAYMENT CHALLAN APPLICANT'S COPY

Fee Payment Challan

Copy 3 of 3

APPLICATION FEE / POSTAL CHARGES PAYMENT CHALLAN COPY TO BE SENT WITH THE APPLICATION

Recruitment of Specialist/Generalist Officers- 2011-2012 MMG-S-II TO SMG-IV TO BE FILLED-IN BY THE CANDIDATE IN BLOCK LETTERS Applicants Name: Sri / Smt / Kum Date of Birth [DD-MM-YYYY] Contact Phone/ Mobile No. Email ID: Amount in Rupees (Tick appropriate) Category* (Tick appropriate box) Post Applied for Post Code ` _______/Amount deposited Depositing Branch Name Depositing Branch City/Location Name of the Account Account Number Date of Payment VIJAYA BANK REC_PROJ 2011-12 Scale IIIV 900900022503005 ____ / ____ / 2011 [Rupees ________________________only] SC

Recruitment of Specialist/Generalist Officers- 2011-2012 MMG-SII TO SMG-IV TO BE FILLED-IN BY THE CANDIDATE IN BLOCK LETTERS Applicants Name: Sri / Smt / Kum Date of Birth [DD-MM-YYYY] Contact Phone/ Mobile No. Email ID: Amount in Rupees (Tick appropriate) Category* (Tick appropriate box) Post Applied for Post Code ` _______/Amount deposited Depositing Branch Name Depositing Branch City/Location Name of the Account Account Number Date of Payment VIJAYA BANK REC_PROJ 2011-12 Scale IIIV 900900022503005 ____ / ____ / 2011 [Rupees ________________________only] SC

Recruitment of Specialist/Generalist Officers- 2011-2012 MMG-SII TO SMG-IV TO BE FILLED-IN BY THE CANDIDATE IN BLOCK LETTERS Applicants Name: Sri / Smt / Kum Date of Birth [DD-MM-YYYY] Contact Phone/ Mobile No. Email ID: Amount in Rupees (Tick appropriate) Category* (Tick appropriate box) Post Applied for Post Code ` _______/Amount deposited Depositing Branch Name Depositing Branch City/Location Name of the Account Account Number Date of Payment VIJAYA BANK REC_PROJ 2011-12 Scale IIIV 900900022503005 ____ / ____ / 2011 [Rupees ________________________only] SC

` 50/ST PWD

` 300/All **Others

` 50/ST PWD

` 300/All **Others

` 50/ST PWD

` 300/All **Others

Date of Payment [Only From 22.11.2011 to 14.12.2011 only] Signature of Candidate / Depositor: Name of the Candidate/ Depositor: Address:

Date of Payment [Only From 22.11.2011 to 14.12.2011 only] Signature of Candidate / Depositor: Name of the Candidate/ Depositor: Address:

Date of Payment [Only From 22.11.2011 to 14.12.2011 only] Signature of Candidate / Depositor: Name of the Candidate/ Depositor: Address:

TO BE FILLED-IN BY THE BRANCH Branch Code: Branch Code (Max. 5 digits) , Branch Name & Location of the Name:________________________ receiving Branch where Fees / Postage Charges Paid Transaction ID. Authorised Signatory: Branch Seal:__________ * Tick whichever is applicable. ** All others include GEN/OBC/ExServiceman candidates. Note: Fee receiving branch is advised to write Transaction ID & Branch Code No. above invariably

TO BE FILLED-IN BY THE BRANCH Branch Code: Branch Code (Max. 5 digits) , Branch Name & Location of the Name:________________________ receiving Branch where Fees / Postage Charges Paid Transaction ID. Authorised Signatory: Branch Seal: * Tick whichever is applicable. ** All others include GEN/OBC/ExServiceman candidates. Note: Fee receiving branch is advised to write Transaction ID & Branch Code No. above invariably

TO BE FILLED-IN BY THE BRANCH Branch Code (Max. 5 digits) , Branch Name & Location of the Name:________________________ receiving Branch where Fees / Postage Charges Paid Transaction ID. Authorised Signatory: Branch Seal: * Tick whichever is applicable. ** All others include GEN/OBC/ExServiceman candidates. Note: Fee receiving branch is advised to write Transaction ID & Branch Code No. above invariably