Cash Voucher

Bank Copy

Cash Voucher

Candidate Copy

Cash Voucher

Candidate Copy

CASH CAN BE TENDERED AT ANY SBI BRANCH PGADM2012-Application Fee Payment Challan Use CBS Screen 8888
No: Fee Type: Registration ID/Ref No. Date of Birth:

CASH CAN BE TENDERED AT ANY SBI BRANCH PGADM2012-Application Fee Payment Challan Use CBS Screen 8888
No: Fee Type: Registration ID/Ref No. Date of Birth:

CASH CAN BE TENDERED AT ANY SBI BRANCH PGADM2012-Application Fee Payment Challan Use CBS Screen 8888
No: Fee Type: Registration ID/Ref No. Date of Birth:

000029 00000677 22121990

000029 00000677 22121990

000029 00000677 22121990

Challan can be deposited minimum three days after the generation of challan.

Challan can be deposited minimum three days after the generation of challan.

Challan can be deposited minimum three days after the generation of challan.

Name of Candidate Address for Correspondence

JITENDRA NARAYAN PANDA

Name of Candidate Address for Correspondence

JITENDRA NARAYAN PANDA

Name of Candidate Address for Correspondence

JITENDRA NARAYAN PANDA

C/O- BIJAYA NARAYAN PANDA, CHANDRASEKHAR PUR FIRE STATION, SAILASHREE VIHAR, BHUBANESWAR, BHUBANESWAR, Orissa, India
+91~9778623425 n.jituni@gmail.com General Rs 225.00 only (Exam Fees Rs 200.00+Bank Charges Rs 25.00) TWO HUNDRED TWENTY-FIVE RUPEES only

C/O- BIJAYA NARAYAN PANDA, CHANDRASEKHAR PUR FIRE STATION, SAILASHREE VIHAR, BHUBANESWAR, BHUBANESWAR, Orissa, India
+91~9778623425 n.jituni@gmail.com General Rs 225.00 only (Exam Fees Rs 200.00+Bank Charges Rs 25.00) TWO HUNDRED TWENTY-FIVE RUPEES only

C/O- BIJAYA NARAYAN PANDA, CHANDRASEKHAR PUR FIRE STATION, SAILASHREE VIHAR, BHUBANESWAR, BHUBANESWAR, Orissa, India
+91~9778623425 n.jituni@gmail.com General Rs 225.00 only (Exam Fees Rs 200.00+Bank Charges Rs 25.00) TWO HUNDRED TWENTY-FIVE RUPEES only

Mobile/Landline No Email ID: Category: Amount:

Mobile/Landline No Email ID: Category: Amount:

Mobile/Landline No Email ID: Category: Amount:

Total Amount in words:

Total Amount in words:

Total Amount in words:

Signature of the Candidate

JOURNAL NUMBER Receiving Branch use only 1.Please note to write the Journal Number in all the challans.

Signature of the Candidate

JOURNAL NUMBER Receiving Branch use only 1.Please note to write the Journal Number in all the challans.

Signature of the Candidate

JOURNAL NUMBER Receiving Branch use only 1.Please note to write the Journal Number in all the challans.

SEAL/DATE

AUTHORISED SIGNATORY

SEAL/DATE

AUTHORISED SIGNATORY

SEAL/DATE

AUTHORISED SIGNATORY