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PAY IN SLIP (Post Office Copy)

PAY IN SLIP (TNPSC Copy)

PAY IN SLIP (Candidate Copy)

APPLICATION FEE PAYABLE AT ALL

APPLICATION FEE PAYABLE AT ALL

APPLICATION FEE PAYABLE AT ALL

DESIGNATED POST OFFICE

DESIGNATED POST OFFICE

DESIGNATED POST OFFICE

Name of the Candidate: JEGANATHAN

Name of the Candidate: JEGANATHAN

Name of the Candidate: JEGANATHAN

Unique Id: 612264

Unique Id: 612264

Unique Id: 612264

Phone no: 9791830945

Phone no: 9791830945

Phone no: 9791830945

Date of Birth: 16/05/1977

Date of Birth: 16/05/1977

Date of Birth: 16/05/1977

One Time Reg Fee : Rs. 50.00 /-

One Time Reg Fee : Rs. 50.00 /-

One Time Reg Fee : Rs. 50.00 /-

Service Charges

: Rs. 12.00 /-

Service Charges

: Rs. 12.00 /-

Service Charges

: Rs. 12.00 /-

Total

: Rs. 62.00 /-

Total

: Rs. 62.00 /-

Total

: Rs. 62.00 /-

Amount: 62.00

Amount: 62.00

Amount: 62.00

Amount in words :(Rupees ______________

Amount in words :(Rupees ______________

Amount in words :(Rupees ______________

________________________________only)

________________________________only)

________________________________only)

Name of the receiving branch____________

Name of the receiving branch____________

Name of the receiving branch____________

__________________________________

__________________________________

__________________________________

Signature of the Candidate

Signature of the Candidate

Signature of the Candidate

To be filled by the Post Office:

To be filled by the Post Office:

To be filled by the Post Office:

Ref. No:_____________________

Ref. No:_____________________

Ref. No:_____________________

Branch Name:_____________________

Branch Name:_____________________

Branch Name:_____________________

Challan No:_____________________

Challan No:_____________________

Challan No:_____________________

Date

Signature of the Authorized

Signature of the Authorized

Signature of the Authorized

Official with branch seal

Official with branch seal

Official with branch seal

Date

Date