CHALLAN (1st Copy) I APPLICANTS COPY

(To be retained by the applicant)

CHALLAN (2
nd
Copy) I CMPDIS COPY
(To be send by the applicant to CMPDI)


POWER JYOTI ACCOUNT NO: 33596488594
[CMPDI Recruitment Account]
Fee will be accepted from 01.09.14 to 20.09.14 only

TO BE FILLED BY THE CANDIDATE
Post Applied for

Name
Fathers Name
Date of Birth
(dd/mm/yyyy)

SBI Branch Name
SBI Branch Code
Date of Deposit
Fee Details (in Rs.):
APPLICATION FEES: Rs. 100/-
BANK CHARGES: Rs. 50/-
TOTAL: Rs. 150/-
Total Amount in Words : Rupees One Hundred Fifty Only

Signature of candidate

TO BE FILLED BY THE BANK
JOURNAL NUMBER
(HOST TRACE NO.)


Date: AUTHORISED SIGNATORY
with BANK SEAL
Place:

IMPORTANT INSTRUCTIONS:
1. Candidates should send CMPDI copy of this challan along with the
ON-LINE or OFF-LINE Application Form to CMPDI & keep applicant
copy of this challan for future reference.
2. Candidate should ensure that the Journal No.(Host Trace No.) is
allotted by Bank for this payment.
3. The Bank should not do bench posting or trickle feed. Journal
No.(Host Trace No.) should be entered by the Bank.




POWER JYOTI ACCOUNT NO: 33596488594
[CMPDI Recruitment Account]
Fee will be accepted from 01.09.14 to 20.09.14 only

TO BE FILLED BY THE CANDIDATE
Post Applied for

Name
Fathers Name
Date of Birth
(dd/mm/yyyy)

SBI Branch Name
SBI Branch Code
Date of Deposit
Fee Details (in Rs.):
APPLICATION FEES: Rs. 100/-
BANK CHARGES: Rs. 50/-
TOTAL: Rs. 150/-
Total Amount in Words : Rupees One Hundred Fifty Only

Signature of candidate

TO BE FILLED BY THE BANK
JOURNAL NUMBER
(HOST TRACE NO.)


Date: AUTHORISED SIGNATORY
with BANK SEAL
Place:

IMPORTANT INSTRUCTIONS:
1. Candidates should send CMPDI copy of this challan along with the
ON-LINE or OFF-LINE Application Form to CMPDI & keep applicant
copy of this challan for future reference.
2. Candidate should ensure that the Journal No.(Host Trace No.) is
allotted by Bank for this payment.
3. The Bank should not do bench posting or trickle feed. Journal
No.(Host Trace No.) should be entered by the Bank.




POWER JYOTI ACCOUNT NO: 33596488594
[CMPDI Recruitment Account]
Fee will be accepted from 01.09.14 to 20.09.14 only

TO BE FILLED BY THE CANDIDATE
Post Applied for

Name
Fathers Name
Date of Birth
(dd/mm/yyyy)

SBI Branch Name
SBI Branch Code
Date of Deposit
Fee Details (in Rs.):
APPLICATION FEES: Rs. 100/-
BANK CHARGES: Rs. 50/-
TOTAL: Rs. 150/-
Total Amount in Words : Rupees One Hundred Fifty Only

Signature of candidate

TO BE FILLED BY THE BANK
JOURNAL NUMBER
(HOST TRACE NO.)


Date: AUTHORISED SIGNATORY
with BANK SEAL
Place:

IMPORTANT INSTRUCTIONS:
1. Candidates should send CMPDI copy of this challan along with the
ON-LINE or OFF-LINE Application Form to CMPDI & keep applicant
copy of this challan for future reference.
2. Candidate should ensure that the Journal No.(Host Trace No.) is
allotted by Bank for this payment.
3. The Bank should not do bench posting or trickle feed. Journal
No.(Host Trace No.) should be entered by the Bank.
A Mini-Ratna Company
A Mini-Ratna Company
CHALLAN (3
rd
Copy) I BANKS COPY
(To be retained by the Bank)

A Mini-Ratna Company