Challan Officer Scale-I

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Phone/Mob. No. Note: Fee receiving branch is advised to write the Transaction ID/Scroll No. and. Branch Code/DPD No. abo
FEE PAYMENT CHALLAN (CASH VOUCHER) BRANCH COPY PRATHAMA BANK Application Fee Details Recruitment of Officer Junior Management (Scale-I)

FEE PAYMENT CHALLAN (CASH VOUCHER) CANDIDATE’S COPY PRATHAMA BANK Application Fee Details Recruitment of Officer Junior Management (Scale-I)

Account No

: 89025174900 (with BO: R.G.Vihar)

Account No

: 89025174900 (with BO: R.G.Vihar)

Project ID

: PRATHAMA/1/2014

Project ID

: PRATHAMA/1/2014

Affix Pass port size Photograph

Candidate’s Name : Mr./Ms. ………………………….. Category

Candidate’s Name : Mr./Ms …………………………………… Category

(Tick √ the box whichever is applicable)

(Tick √ the box whichever is applicable)

SC/ST/PWD

Rs.100/- (Application fee & Postage)

Others

Date of Birth

Rs.20/- (Only Postage)

:

Date of Birth

Branch Name:

Code/DPD No :

Branch Name:

Transaction ID/Scroll No. :

Deposit Date :

Transaction ID :

(Opening Date:- 04.12.2014;

Closing Date: 20.12.2014)

Application Fee/Postage Rs. ....................... (Rupees....................................................................................only)

Signature of Depositor Address:.................... ...................................

Authorized Signatory Stamp

SC/ST/PWD Others

here

Rs.20/- (Only Postage) Rs.100/- (Application fee & Postage)

:

(Opening Date:- 04.12.2014;

Code/DPD No : Deposit Date : Closing Date: 20.12.2014)

Amount Rs. ....................... (Rupees..........................................................................................only) Signature of Depositor Address:.................... ...................................

Authorized Signatory Stamp

Phone/Mob. No. Phone/Mob. No. Note: Fee receiving branch is advised to write the Transaction ID/Scroll No. and Branch Code/DPD No. above invariably.

Note: Fee receiving branch is advised to write the Transaction ID/Scroll No. and Branch Code/DPD No. above invariably. (This part of the challan will be required to produce by the candidate at the time of interview along with a photograph, otherwise the candidate will not be allowed to appear at the venue.)