STATE BANK OF INDIA

APPLICATION FEE CHALLAN

STATE BANK OF INDIA

APPLICATION FEE CHALLAN

STATE BANK OF INDIA

APPLICATION FEE CHALLAN

RAJYA SABHA SECRETARIAT

RAJYA SABHA SECRETARIAT

RAJYA SABHA SECRETARIAT

Name of Candidate ___________________________

Name of Candidate ___________________________

Name of Candidate ___________________________

____________________________________________

____________________________________________

____________________________________________

Address ____________________________________

Address ____________________________________

Address ____________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Fees Amount
Branch Commission

Fees Amount
Branch Commission

Fees Amount
Branch Commission

(RECRUITMENT CELL)

Total -

Rs.100/Rs. 30/Rs. 130/-

(To be filled by Bank)

(RECRUITMENT CELL)

Total -

Rs.100/Rs. 30/Rs. 130/-

(To be filled by Bank)

(RECRUITMENT CELL)

Total -

Rs.100/Rs. 30/Rs. 130/-

(To be filled by Bank)

Branch Name and Code No. ____________________

Branch Name and Code No. ____________________

Branch Name and Code No. ____________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Journal No. __________________________________

Journal No. __________________________________

Journal No. __________________________________

(Candidates to ensure that the above entries have been

filled by the Bank)

(Candidates to ensure that the above entries have been

filled by the Bank)

(Candidates to ensure that the above entries have been

filled by the Bank)

FOR SBI BRANCHES: Please deposit this amount

of
Rs.100/into
the
Current
Account
No.31096407809, DDO, RAJYA SABHA and charge
your branch commission Rs.30/- (approved by New
Delhi LHO).

FOR SBI BRANCHES: Please deposit this amount

of
Rs.100/into
the
Current
Account
No.31096407809, DDO, RAJYA SABHA and charge
your branch commission Rs.30/- (approved by New
Delhi LHO).

FOR SBI BRANCHES: Please deposit this amount

of
Rs.100/into
the
Current
Account
No.31096407809, DDO, RAJYA SABHA and charge
your branch commission Rs.30/- (approved by New
Delhi LHO).

Date: _____________

Date: _____________

Date: _____________

Signatures of receiving Branch Official

(with rubber stamp)

Signatures of receiving Branch Official

(with rubber stamp)

Signatures of receiving Branch Official

(with rubber stamp)

(BANKS COPY)

(CANDIDATES COPY)

(SECRETARIAT COPY - TO BE ATTACHED WITH

APPLICATION FORM)