CASH (1ST Copy) PAY-IN-SLIP CASH (2ND Copy) PAY-IN-SLIP CASH (3RD Copy) PAY-IN-SLIP

(To be retained by the BANK) (To be send by Applicant to CSIR) (To be retained by the Applicant)

Remittence of Fee through BANK Challan is applicable only for Remittence of Fee through BANK Challan is applicable only for Remittence of Fee through BANK Challan is applicable only for
candidates applying ON-LINE. candidates applying ON-LINE. candidates applying ON-LINE.

______________
Joint CSIR-UGC (NET) Examination June, 2011
2010
______________
Joint CSIR-UGC (NET) Examination June, 2011
2010
______________ 2011
Joint CSIR-UGC (NET) Examination June, 2010

Designated Nodal Branch Designated Nodal Branch Designated Nodal Branch

CSIR saving A/c No:. 8 2 4 3 0 5 5 5 3 CSIR saving A/c No:. 8 2 4 3 0 5 5 5 3 CSIR saving A/c No:. 8 2 4 3 0 5 5 5 3

Detail of Fee Detail of Fee Detail of Fee

(Please Tick fee, as applicable ) (Please Tick fee, as applicable ) (Please Tick fee, as applicable )
Category Amount Category Amount Category Amount
General Rs.400/- General Rs.400/- Rs.400/-
General
OBC Rs.200/- OBC Rs.200/- OBC Rs.200/-

______________
SC/ST/PH/VH Rs.100/-
______________
SC/ST/PH/VH Rs.100/-
______________
SC/ST/PH/VH Rs.100/-

To be filled in by the Applicant To be filled in by the Applicant To be filled in by the Applicant

Subject Code: Centre Code: Category Code: Subject Code: Centre Code: Category Code: Subject Code: Centre Code: Category Code:
Name (Block letters) :...................................................... Name (Block letters) :...................................................... Name (Block letters) :......................................................
Address (Block letters) :................................................................. Address (Block letters) :................................................................. Address (Block letters) :.................................................................

Deposit Fee Amount: Date: Deposit Fee Amount: Date: Deposit Fee Amount: Date:
(In figure) (In figure) (In figure)
Deposit Fee Amount:............................................................... Deposit Fee Amount:............................................................... Deposit Fee Amount:...............................................................
(In words) (In words) (In words)
Phone/Mobile Number: Phone/Mobile Number: Phone/Mobile Number:

______________ APPLICANT SIGNATURE ______________ APPLICANT SIGNATURE ______________ APPLICANT SIGNATURE

For Bank Use Only
Received the above amount on............................................(date)
Deposit Journal No..................
Bank Name..................................................
Bank/Branch code.......................................
Branch Name/City...................................................................................
For Bank Use Only
Received the above amount on............................................(date)
Deposit Journal No..................
Bank Name..................................................
Bank/Branch code.......................................
Branch Name/City...................................................................................
For Bank Use Only
Received the above amount on............................................(date)
Deposit Journal No..................
Bank Name..................................................
Bank/Branch code.......................................
Branch Name/City...................................................................................

(Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank)

______________
Note: 1. Bank name. Branch code and Branch name / City Must be given by the Bank.
30-03-2011
2. Bank is requested to accept deposits only upto: 17.03.2010. ______________
Note: 1. Bank name. Branch code and Branch name / City Must be given by the Bank.
30-03-2011
2. Bank is requested to accept deposits only upto: 17.03.2010. ______________
Note: 1. Bank name. Branch code and Branch name / City Must be given by the Bank.
30-03-2011
2. Bank is requested to accept deposits only upto: 17.03.2010.

As per agreement with Indian Bank, West Patel Nagar, New Delhi, all As per agreement with Indian Bank, West Patel Nagar, New Delhi, all As per agreement with Indian Bank, West Patel Nagar, New Delhi, all
CBS Branches of Indian Bank are authorized to collect the fees. CBS Branches of Indian Bank are authorized to collect the fees. CBS Branches of Indian Bank are authorized to collect the fees.