CHALLAN

							                          CHALLAN FORM (CASH VOUCHER)                                                                       CHALLAN FORM (CASH VOUCHER)
                                                                                 BRANCH COPY                                                                   CANDIDATE’S COPY
                   JHARKHAND GRAMIN BANK                                                                                  JHARKHAND GRAMIN BANK
                  Application Fee Details-Form- 01                                                                    Application Fee Details-Form -01               Place for
               Recruitment of Officer Scale-III,II, & I (Group-A)                                                  Recruitment Of Officer Scale-III,II & I (Group-A) Candidate’s
                    in Jharkhand Gramin Bank                                                                              in Jharkhand Gramin Bank                   Photograph
Account No       : 490220110000406
                    Bank of India, Clubside Branch, Ranchi                                               Account No   490220110000406
Candidate’s Name : Mr./Mrs/Kum.                                                                                       Bank of India, Clubside Branch, Ranchi
                                                                                                         Candidate’s Name : Mr./Mrs/Kum.
Category*                             SC/ST/PC/EXS – Only Postage Rs.100/-
                                      OBC/GEN - Application Fee & Postage Rs.500/-                       Category*                       SC/ST/PC/EXS – Only Postage Rs.100/-
                                                                                                                                         OBC/GEN - Application Fee & Postage Rs.500/-
Date of Birth                     :
                                                                                                         Date of Birth                   :
                     Bank’s Branch Name :
                                                                                                                         Bank’s Branch Name :
Branch Code No#                       :
                                                                                                         Branch Code No#                     :
Journal No #                          :
(7 to 10 digits)                                                                                         Journal No #                        :
                                                                                                         (7 to 10 digits)
Deposit Date                  :
                                                                                                         Deposit Date                :
Application Fee/Postage Rs........................
(Rupees..........................................................................................only)   Application Fee/Postage Rs........................
                                                                                                         (Rupees..........................................................................................only)

Signature of Depositor                                    Authorized Signatory
 Address:....................                                   Stamp                                    Signature of Depositor                  Authorized Signatory
...................................                                                                       Address:....................                  Stamp
Phone/Mobile No.                                                                                         ...................................
                                                                                                         Phone/Mobile No.
* Tick whichever is applicable.                                                                          * Tick whichever is applicable.
# Fee receiving branch is advised to write the Deposit Journal No. and                                   # Fee receiving branch is advised to write the Deposit Journal No. and
branch code no. above invariably.                                                                        branch code no. above invariably.
                                                                                                         (This part of the challan will be required to be submitted by the candidate at the time of
                                                                                                         written test along with a photograph, otherwise the candidate will not be allowed to appear
                                                                                                         at the examination.)
                          CHALLAN FORM (CASH VOUCHER)                                                                         CHALLAN FORM (CASH VOUCHER)
                                                                                 BRANCH COPY                                                                  CANDIDATE’S COPY
                             JHARKHAND GRAMIN BANK                                                                          JHARKHAND GRAMIN BANK
                           Application Fee Details - Form- 02                                                               Application Fee Details- Form -02       Place for
                           Recruitment of Office Assistant (Group-B)                                                                                                Candidate’s
                              in Jharkhand Gramin Bank                                                                  Recruitment Of Office Assistant (Group-B)   Photograph
                                                                                                                            in Jharkhand Gramin Bank
Account No       : 490220110000406
                   Bank of India, Clubside Branch, Ranchi                                                Account No : 490220110000406
Candidate’s Name : Mr./Mrs/Kum.                                                                                        Bank of India, Clubside Branch, Ranchi
                                                                                                         Candidate’s Name : Mr./Mrs/Kum.
Category*                         SC/ST/PC/EXS – Only Postage Rs.100/-
                                  OBC/GEN - Application Fee & Postage Rs.500/-                           Category*                       SC/ST/PC/EXS – Only Postage Rs.100/-
                                                                                                                                          OBC/GEN - Application Fee & Postage Rs.500/-
Date of Birth                     :                                                                      Date of Birth                   :

                     Bank’s Branch Name :                                                                                Bank’s Branch Name :

Branch Code No#                       :                                                                  Branch Code No#                 :

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/Mobile No.                                                                                         Phone/Mobile No.
                                                                                                         * Tick whichever is applicable.
* Tick whichever is applicable.                                                                          # Fee receiving branch is advised to write the Deposit Journal No. and
# Fee receiving branch is advised to write the Deposit Journal No. and                                   branch code no. above invariably.
branch code no. above invariably.                                                                        (This part of the challan will be required to be submitted by the candidate at the time of
                                                                                                         written test along with a photograph, otherwise the candidate will not be allowed to appear
                                                                                                         at the examination.)