BRANCH COPY FEES PAYMENTCHALLAN FEES PAYMENT CHALLAN

APPLICANTS COPY

STATE BANK OF INDIA

Recruitment of Administrative Officers in

STATE BANK OF INDIA

Recruitment of Administrative Officers in

UNITED INDIA INSURANCE CO. LTD Date: Account No. 32225814791 at Triplicane, Chennai 600 005 Name of the Applicant: Address:

UNITED INDIA INSURANCE CO. LTD Date: Account No. 32225814791 at Triplicane, Chennai 600 005 Name of the Applicant: Address:

Fee Required:(`. 525/- for GEN/OBC and `. 125/- for SC/ST/PwD/Permanent ` Employees of UIIC including Rs.25/- for bank charges)

Fee Required: (`. 525/- for GEN/OBC and `. 125/- for SC/ST/PwD/Permanent ` Employees of UIIC including Rs.25/- for bank charges)

Signature of the Applicant: (To be filled by the Bank) Branch Stamp SBI Branch Name :________________ Branch Code Deposit Date 04 Journal No. 2012

Signature of the Applicant: (To be filled by the Bank) Branch Stamp SBI Branch Name :______________ Branch Code Deposit Date 04 Journal No. 2012

Authorised Signatory Instructions to Banker

1. 2. Please note to write the Journal No. in both the copies of challan. For clarification in filling up the challan please call 044-28441887/ 9444399331 1. 2.

Authorised Signatory Instructions to Banker

Please note to write the Journal No in both the copies of challan. For clarification in filling up the challan please call 044-28441887/ 9444399331