CHALLAN FORM - Allahabad UP Gramin Bank

CHALLAN FORM (CASH VOUCHER)-01 Branch Copy Application Fee Details Recruitment of Officer Junior Managment Scale-I in Allahabad UP Gramin Bank, Banda, (UP) for Year 2012 CBS Account No CBS Account No

50133197731 At Allahabad Bank, Banda OR 10860200000198 At Allahabad UP Gramin Bank, Banda

Candidate’s Name Date of Birth Category* SC/ST/PWD-only Postage Rs. 20 /OBC/GEN-Application Fee & Postage Rs. 100 /Branch Name Branch Code# Journal/Transaction No# Deposit Date Rs. Application Fee/Postage

CHALLAN FORM (CASH VOUCHER)-01 Candidate’s Copy Application Fee Details Recruitment of Officer Junior Managment Scale-I in Allahabad UP Gramin Bank, Banda, (UP) for Year 2012 CBS Account No CBS Account No

Candidate’s Name Date of Birth Category* SC/ST/PWD-only Postage Rs. 20 /OBC/GEN-Application Fee & Postage Rs. 100 /Branch Name Branch Code# Journal/Transaction No# Deposit Date Application Fee/Postage Rs.

(Rs.....................................................only)

Applicant’s Signature Address:…………….. .........................................

Authorized Signatory Stamp

50133197731 At Allahabad Bank, Banda OR 10860200000198 At Allahabad UP Gramin Bank, Banda

(Rs.....................................................only)

Applicant’s Signature Address:…………….. ....................................

Authorized Signatory Stamp

Phone/Mob. No............................

Phone/Mob. No.............................

*Tick whichever is applicable #Fee receiving branch is advised to write the Deposit Journal/Transaction No. and branch Code no. above invariably

*Tick whichever is applicable #Fee receiving branch is advised to write the Deposit Journal /Transaction No. and branch Code no. above invariably (This part of the challan will be required to be submitted at the time of Interview ,otherwise the candidate will not be allowed to appear at the Interview.)