CHALLAN FORM (CASH VOUCHER)- 01 by LFnO319

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									           CHALLAN FORM (CASH VOUCHER)- 01                                     CHALLAN FORM (CASH VOUCHER)- 01                                      CHALLAN FORM (CASH VOUCHER)- 01
                        Branch Copy                                                       Candidate Copy                                                       Application Copy
                    State Bank of India                                                  State Bank of India                                                  State Bank of India
                Application Fee Details                                              Application Fee Details                                              Application Fee Details
              Recruitment of Officer Scale-I in                                    Recruitment of Officer Scale-I in                                    Recruitment of Officer Scale-I in
                  Vananchal Gramin Bank                                               Vananchal Gramin Bank                                                Vananchal Gramin Bank
Current Account   : 31884896112                                      Current Account   : 31884896112                                      Current Account   : 31884896112
                            at State Bank of India, Dumka                                        at State Bank of India, Dumka                                          at State Bank of India, Dumka
Candidate's Name        :   Mr./Mrs./Kum.                            Candidate's Name        :   Mr./Mrs./Kum.                            Candidate's Name          :   Mr./Mrs./Kum.
…………………………………………….                                                   …………………………………………….                                                   …………………………………………….
Category : SC/ ST/ PWD - Postage Rs. 100/-+                          Category : SC/ ST/ PWD - Postage Rs. 100/-                           Category : SC/ ST/ PWD - Postage Rs. 100/-
                               Rs.50/-Bank Charges                                                  +Rs.50/-Bank Charges                                  +Rs.50/-Bank Charges
OBC/GEN/OTHERS - Application Fee & Postage Rs. 400/-                 OBC/GEN/OTHERS - Application Fee & Postage Rs. 400/-                 OBC/GEN/OTHERS - Application Fee & Postage Rs. 400/-
                            +Rs.50/-Bank Charges                                                 +Rs.50/-Bank Charges                                                   +Rs.50/-Bank Charges
Date of Birth        : ……………………………………                                Date of Birth        : ……………………………………                                Date of Birth          : ……………………………………
………………………………………………..Bank's Branch Name                               ………………………………………………..Bank's Branch Name                               ………………………………………………..Bank's Branch Name
Branch Code          :      ………………………………………..                        Branch Code          :      ………………………………………..                        Branch Code            :      ………………………………………..
Journal No.         :       ………………………………………..                        Journal No.         :       ………………………………………..                        Journal No.           :       ………………………………………..
(7 to 10 digits)                                                     (7 to 10 digits)                                                     (7 to 10 digits)
Deposit Date         : ………………………………………..                             Deposit Date         : ………………………………………..                             Deposit Date          : ………………………………………..
Application Fee/ Postage Rs. ……………………………….                           Application Fee/ Postage Rs. ……………………………….                           Application Fee/ Postage Rs. ……………………………….
(Rupees ………………………………………………………………….                                   (Rupees                                                              (Rupees
only)                                                                …………………………………………………………………. only)                                     …………………………………………………………………. only)

Signature of Depositor                                  Authorized   Signature of Depositor                                  Authorized   Signature of Depositor                                    Authorized
Signatory                                                            Signatory                                                            Signatory
Address ………………………………….                                               Address ………………………………….                                               Address ………………………………….
Stamp              …………………………………………….                                Stamp              …………………………………………….                                Stamp              …………………………………………….
…………………………………………….                                                   …………………………………………….                                                   …………………………………………….
Phone / Mob. No. ……………………….                                          Phone / Mob. No. ……………………….                                          Phone / Mob. No. ……………………….
* Tick whichever is applicable.                                      * Tick whichever is applicable.                                      * Tick whichever is applicable.
# Fee receiving branch is advised to write the Deposit Journal No.   # Fee receiving branch is advised to write the Deposit Journal       # Fee receiving branch is advised to write the Deposit Journal
and branch code no. above invariably.                                No. and branch code no. above invariably.                            No. and branch code no. above invariably.
                   CHALLAN FORM (CASH VOUCHER)- 02                                                          CHALLAN FORM (CASH VOUCHER)- 02
                                     Branch Copy                                                                            Candidate Copy

                                 State Bank of India                                                                     State Bank of India
                                Application Fee Details                                                                 Application Fee Details
    Recruitment of Office Assistant in Vananchal Gramin Bank                                 Recruitment of Office Assistant in Vananchal Gramin Bank

Current Account       :       31807949984 at State Bank of India, Dumka                  Current Account       :       31807949984 at State Bank of India, Dumka
Candidate's Name          :   Mr./Mrs./Kum. …………………………………………….                           Candidate's Name          :   Mr./Mrs./Kum. …………………………………………
Category                  :   SC/ ST/ PC/ EXS      -    Only Postage Rs. 100/-           Category                  :   SC/ ST/ PC/ EXS      -     Only Postage Rs. 100/-
                              OBC/GEN -   Application Fee & Postage Rs. 400/-                                          OBC/GEN -   Application Fee & Postage Rs. 400/-
Date of Birth         : ……………………………………                                                   Date of Birth         : ……………………………………
………………………………………………..Bank's Branch Name                                                   ………………………………………………………..Bank's Branch Name
Branch Code           :       ………………………………………..                                          Branch Code           :       ………………………………………..
Journal No.           :       ………………………………………..                                          Journal No.           :       ………………………………………..
                                                                                         (7 to 10 digits)
(7 to 10 digits)
                                                                                         Deposit Date          : ………………………………………..
Deposit Date          : ………………………………………..
                                                                                         Application Fee/ Postage Rs. ……………………………….
Application Fee/ Postage Rs. ……………………………….
                                                                                         (Rupees …………………………………………………………………. only)
(Rupees …………………………………………………………………. only)


                                                                                         Signature of Depositor                                     Authorized Signatory
Signature of Depositor                                     Authorized Signatory
                                                                                         Address ………………………………….                                           Stamp
Address ………………………………….                                           Stamp
                                                                                         …………………………………………….
…………………………………………….
                                                                                         …………………………………………….
…………………………………………….
                                                                                         Phone / Mob. No. ……………………….
Phone / Mob. No. ……………………….

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

								
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