1/1

INSTITUTE OF BANKING PERSONNEL SELECTION IBPS-RRB-CWE - Officers - 1645

25037 E- RECEIPT (CANDIDATE'S COPY) Application Fee Payment Details Account No : 005120110000856

Bank of India, Borivali East Branch, Mumbai Registration Number : Applicant's Name : Father's/ Husband's Name : Date Of Birth : Post Applied : Category : Transaction ID : Reference ID : Date of Transaction : Transaction Amount : Address : 6000233047 THOMAS FERNANDEZ U UBAGARAM 28-06-1983 General Banking Officer Scale II OBC 112061622518919 MSPD2755430577 16-06-2012 18:23:42 450.00 238 36A 4 DURAISWAMY PURAM 4TH CROS PALAKARAI TAMILNADU 620001 -/9677283786

Phone/Mob. No : Signature of Applicant :