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8/12/2014 Welcome to IBPS - (CWE - Clerks-IV) - Application Form Print

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Candidate Copy
INSTITUTE OF BANKING PERSONNEL SELECTION
IBPS (CWE-Clerks-IV – 2014 – 3010)
CHALLAN FORM
(Please tick the name of the Bank in which fee/intimation charges are proposed to be deposited)
Bank of Baroda Bank of India Bank of Maharashtra Central Bank of India
Indian Ov erseas Bank Punjab National Bank United Bank of India
Candidate's Details
Name : FOUZIA ANJUM
Registration No : 1350065555 Date of Birth : 12-08-1989
Category : GENERAL Mobile No : 8093918663
Date of Registration : 13-08-2014 State Applied f or : Odisha
Amount of Application Fees / Intimation Charges: 600.00
(To be filled by Bank)
Branch Code :
Transaction No. :
Date of Deposit : .............. / ............... / 2014
Amount of Application Fees / Intimation Charges :
Bank Transaction Charges :
(Bank Transaction charges, if any , are to be borne by the candidate)
Fee Pay ment will be accepted only in any of the abov e sev en banks
f rom the 2nd working day af ter Online Registration.
(For example : If one has registered on 12.08.2014, then he/she will be
able to deposit the f ee between 14.08.2014 to 19.08.2014, considering
15.08.2014, 17.08.2014 & 18.08.2014 are non-working day s)

Branch Seal & Signature of
Authorised Signatory (within the Box only )

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Bank Copy
INSTITUTE OF BANKING PERSONNEL SELECTION
IBPS (CWE-Clerks-IV – 2014 – 3010)
CHALLAN FORM
(Please tick the name of the Bank in which fee/intimation charges are proposed to be deposited)
Bank of Baroda Bank of India Bank of Maharashtra Central Bank of India
Indian Ov erseas Bank Punjab National Bank United Bank of India
Candidate's Details
Name : FOUZIA ANJUM
Registration No : 1350065555 Date of Birth : 12-08-1989
Category : GENERAL Mobile No : 8093918663
Date of Registration : 13-08-2014 State Applied f or : Odisha
Amount of Application Fees / Intimation Charges: 600.00
(To be filled by Bank)
Branch Code :
Transaction No. :
Date of Deposit : .............. / ............... / 2014
Amount of Application Fees / Intimation Charges :
Bank Transaction Charges :
(Bank Transaction charges, if any , are to be borne by the candidate)
Signature of the Candidate
Branch Seal & Signature of the
Authorised Signatory (within the Box only )