Challan form - Coal India Limited

CIL’s Copy

Applicant’s Copy

Bank’s Copy

COAL INDIA LIMITED

COAL INDIA LIMITED

COAL INDIA LIMITED

STATE BANK OF INDIA

STATE BANK OF INDIA

STATE BANK OF INDIA

KOLKATA, WEST BENGAL

KOLKATA, WEST BENGAL

KOLKATA, WEST BENGAL

POWER JYOTI ACCOUNT NO: 32306580317

POWER JYOTI ACCOUNT NO: 32306580317

POWER JYOTI ACCOUNT NO: 32306580317

CAG BRANCH, KOLKATA nd Reliance House, 2 Floor, 34 J.L.Nehru Road, Kolkata-700071

CAG BRANCH, KOLKATA nd Reliance House, 2 Floor, 34 J.L.Nehru Road, Kolkata-700071

CAG BRANCH, KOLKATA nd Reliance House, 2 Floor, 34 J.L.Nehru Road, Kolkata-700071

(To be filled by the candidate)

(To be filled by the candidate)

(To be filled by the candidate)

DISCIPLINE:

DISCIPLINE:

DISCIPLINE:

APPLICANT NAME:

APPLICANT NAME:

APPLICANT NAME:

FATHER’S NAME:

FATHER’S NAME:

FATHER’S NAME:

DATE OF BIRTH:

DATE OF BIRTH:

DATE OF BIRTH:

SBI BRANCH NAME:

SBI BRANCH NAME:

SBI BRANCH NAME:

SBI BRANCH CODE:

SBI BRANCH CODE:

SBI BRANCH CODE:

DATE OF DEPOSIT:

DATE OF DEPOSIT:

DATE OF DEPOSIT:

FEE DETAILS (in Rs.):

FEE DETAILS (in Rs.):

FEE DETAILS (in Rs.):

APPLICATION FEES: Rs. 500/-

APPLICATION FEES: Rs. 500/-

APPLICATION FEES: Rs.500/-

BANK CHARGES:Rs.25/-

BANK CHARGES:Rs.25/-

BANK CHARGES:Rs.25/-

TOTAL:Rs.525/-

TOTAL:Rs.525/-

TOTAL:Rs.525/-

TOTAL AMOUNT IN WORDS: Five Hundred Twenty Five Rupees Only

TOTAL AMOUNT IN WORDS: Five Hundred Twenty Five Rupees Only

SIGNATURE OF REMITTER

SIGNATURE OF REMITTER

Date:

JOURNAL NO. (HOST TRACE NO.):

Place:

SIGNATURE OF THE AUTHORIZED OFFICIAL WITH THE BANK SEAL

SIGNATURE OF REMITTER

TO BE FILLED BY BANK

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

TOTAL AMOUNT IN WORDS: Five Hundred Twenty Five Rupees Only

Date: Place:

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

SIGNATURE OF THE AUTHORIZED OFFICIAL WITH THE BANK SEAL

Date: Place:

SIGNATURE OF THE AUTHORIZED OFFICIAL WITH THE BANK SEAL

IMPORTANT INSTRUCTIONS:

IMPORTANT INSTRUCTIONS:

IMPORTANT INSTRUCTIONS:

1. Candidates should send CIL copy of this challan along with the printed online application form to CIL & keep applicant copy of this challan form 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.

1. Candidates should send CIL copy of this challan along with the printed online application form to CIL & keep applicant copy of this challan form 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.

Candidates should send CIL copy of this challan along with the printed online application form to CIL & keep applicant copy of this challan form 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.