State Bank of India Chalan Form by yts16970

VIEWS: 12 PAGES: 1

More Info
									                                         BANK Copy                                                          Candidate Copy                                                        Candidate Copy
                                                                                (to be produced at The time of Written Test)                             (to be produced at The time of Interview)

               STATE BANK OF INDIA
                                                                          STATE BANK OF INDIA                                                     STATE BANK OF INDIA
APGVB OA Recruitment Account – 2010-11.                    APGVB OA Recruitment Account – 2010-11.                                APGVB OA Recruitment Account – 2010-11.

A/c No : 31530306116, 31530759430, 31530759655             A/c No : 31530306116, 31530759430, 31530759655                         A/c No : 31530306116, 31530759430, 31530759655
                                                           Name in Full :                                                         Name in Full :
Name in Full :                                             (In CAPITALS)                                                          (In CAPITALS)
(In CAPITALS)
                                                            Date of                           1 9                                  Date of                          1 9
 Date of                           1 9                      Birth                                                                  Birth
 Birth                                                     Category* : SC / ST / Physically Challenged /                          Category* : SC / ST / Physically Challenged /
Category* : SC / ST / Physically Challenged /              Ex-Servicemen / Dependants                                             Ex-Servicemen / Dependants
Ex-Servicemen / Dependants                                 of Servicemen killed in action                                         of Servicemen killed in action
of Servicemen killed in action                                                                                   Affix                                                                  Affix
                                                                Fees Rs.80/-                                     Passport              Fees Rs.80/-                                     Passport
              Fees Rs.80/-                                                                                       Photo                                                                  Photo
                                                           Category* : OBC/GEN                                                    Category* : OBC/GEN
Category* : OBC/GEN
 Application Fee & Postage Rs. 280/-                        Application Fee &                                                      Application Fee &
                                                            Postage Rs. 280/-                                                      Postage Rs. 280/-
Branch Name where fee paid :
                                                           Branch Name where fee paid :                                           Branch Name where fee paid :
Branch Code
                                                           Branch Code                                                            Branch Code


Journal No : ………………………….
Deposit Date : …………… Fee Paid : Rs………./-.
                                                           Journal No : ………………………….                                               Journal No : ………………………….
(Rupees ………………………………………only)
                                                           Deposit Date : …………… Fee Paid : Rs………./-.                              Deposit Date : …………… Fee Paid : Rs………./-.
                                                           (Rupees …………………………………………..only)                                        (Rupees …………………………………………..only)
__________________
                                                           __________________                                                     __________________
(Applicant’s Signature)
                                                           (Applicant’s Signature)                                                (Applicant’s Signature)
Address :…………………… Authorised Signatory
                                                           Address :……………………….. Authorised Signatory                              Address :……………………….. Authorised Signatory
…………………………………. SS No :
…………………………………                       Branch Seal            ………………………………….                        SS No :                          ………………………………….                       SS No :
…………………………………                                              …………………………………                         Branch Seal                      …………………………………                        Branch Seal
                                                           …………………………………                                                          …………………………………
Mobile/ Phone No:
                                                           Mobile/ Phone No:                                                      Mobile/ Phone No:
             Tick (√) whichever is applicable.
                                                                         Tick (√) whichever is applicable.                                      Tick (√) whichever is applicable.
             #Fee receiving branch is advised to write
             clearly &legibly the Journal/ Scroll No and                 #Fee receiving branch is advised to write clearly                      #Fee receiving branch is advised to write clearly
                                                                         &legibly the Journal/ Scroll No and Branch Code No                     &legibly the Journal/ Scroll No and Branch Code No
             Branch Code No invariably.
                                                                         invariably.                                                            invariably.
                                                           (This challan will be required to be submitted by the candidates at    (This challan will be required to be submitted by the candidates at
                                                           the time of written test otherwise the candidate will not be allowed   the time of written test otherwise the candidate will not be allowed
                                                           to appear for the examination)                                         to appear for the examination)

								
To top