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									Pay-in-Slip – Application fee                                                                Bank’s Copy
for Recruitment of Clerks                A
Payment can be made at any branch of Indian Bank                                   Date: ______________
Paid into credit of Application Fee - Recruitment of Clerks-2010

Account Nos: 890571092           890571127       890571150               Paying Branch Name

Rupees (in words): ___________________________________________________________
____________________________________________________
                                                                         Rs.
Name and Address                                                        Mobile :
of the Candidate
with Pincode                                                            Telephone :


Application Fee: Tick as Applicable
SC/ST/PWD/EXSM Category Rs.50/-                                 OBC/GEN Category Rs.300/-
Signature of the depositor

* For Bank’s Use (not to be filled in by the Candidate).
Deposit Journal Number                           Signature of the Cashier

Branch CBS code, date of remittance and branch     Amount paid into Credit of(to be filled by Branch)
Seal                                                   890571092           890571127          890571150




Pay-in-Slip - Application fee                                                          Candidate’s Copy
for Recruitment of Clerks                A
Payment can be made at any branch of Indian Bank                                   Date: ______________
Paid into credit of Application Fee-Recruitment of Clerks-2010

Account Nos: 890571092           890571127       890571150               Paying Branch Name

Rupees (in words): ___________________________________________________________
____________________________________________________
                                                                         Rs.
Name and Address                                                        Mobile :
of the Candidate
with Pincode                                                            Telephone :


Application Fee: Tick as Applicable
SC/ST/PWD/EXSM Category Rs.50/-                                 OBC/GEN Category Rs.300/-
Signature of the depositor

* For Bank’s Use (not to be filled in by the Candidate).
Deposit Journal Number                          Signature of the Cashier

Branch CBS code, date of remittance and branch   Amount paid into Credit of(to be filled by Branch)
Seal                                                890571092            890571127          890571150


Note: Original of Candidate’s copy of the Challan after payment of application fee has to be
submitted along with the Call Letter at the time of written test on 22.08.2010.

								
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