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Cash Only Bank Copy Cash Only Candidate Copy

 
यवतमाळ िज हा म यवत सहकार बँक ल मटे ड यवतमाळ िज हा म यवत सहकार बँक ल मटे ड

YDCC BANK RECRUITMENT FEES ACCOUNT YDCC BANK RECRUITMENT FEES ACCOUNT
Form No 115085 Form No 115085

Name of post Applied for :- क न ठ ल पक Name of post Applied for :- क न ठ ल पक

KISHORKUMAR KISHORKUMAR
Applicant Name :- HARISHCHANDRA Applicant Name :- HARISHCHANDRA
PARBAT PARBAT

Mobile Number :- 8830308613 Mobile Number :- 8830308613

Applica on Fee :- 1000 Applica on Fee :- 1000

Deposite Date :- Deposite Date :-

Applicant Signature :- Applicant Signature :-

_____________________________ _____________________________

To be Filled in by Bank only To be Filled in by Bank only

Account No :-
000105960100444 Account No :-
000105960100444

Branch Code :- Branch Code :-

Challan Number :-
Challan Number :-
Bank Challan Number, Only Numeric Bank Challan Number, Only Numeric

Branch Stamp Authorized Signatory Branch Stamp Authorized Signatory

Note for A endent:-

1. BRANCH TO ENSURE THAT BRANCH NAME, APP ID, PAYMENT DATE & Note For Candiadate:-
CHALLAN NO ARE CORRECTLY NOTED IN THIS CHALLAN 1. CANDIDATE TO ENSURE THE CHALLAN NO IS CORRECTLY
2. BANK WILL KEEP ONE COPY AND WILL ISSUE OTHER COPY TO THE ENTERED BY THE BANK
APPLICANT

http://yavatmaldccbank.co.in/challan_print.aspx 1/1