CHAITANYA GODAVARI GRAMEENA BANK :: HEAD OFFICE :: GUNTUR CHAITANYA GODAVARI GRAMEENA BANK :: HEAD OFFICE :: GUNTUR

RECRUITMENT PROJECT CWE-III ; IBPS-2014-15 Officer JM-I & Office Assistant (Multipurpose)

RECRUITMENT PROJECT CWE-III ; IBPS-2014-15 Officer JM-I & Office Assistant (Multipurpose)

APPLICATION FEE – PAYMENT CHALLAN

(Branch copy)

APPLICATION FEE – PAYMENT CHALLAN

(Applicant’s copy)

To be filled in by the CANDIDATE To be filled in by the CANDIDATE

Applicant’s Name Applicant’s Name

(Please note: Applicant’s Name in this challan and on the On-Line application should be the same) (Please note: Applicant’s Name in this challan and on the On-Line application should be the same) Application fee Rs.100/- Rs.20/- Application fee Rs.100/- Rs.20/-

Category Gen OBC SC ST PWD

Tick[] whichever is applicable

Category Gen OBC SC ST PWD

Tick[]

whichever is applicable

Officer (Scale-I) Officer (Scale-I)

Application fee Rs.100/- Rs.20/- Application fee Rs.100/- Rs.20/-

Category All other SC ST PWD EX-SER Category All other SC ST PWD EX-SER

Office Assistant (Multi purpose)

Office Assistant (Multi purpose)

FOR BRANCH USE FOR BRANCH USE

Account Number 7031 110 1110 0126 Account Number 7031 110 1110 0126

Branch Sol ID & Name

Branch Sol ID & Name

Date of payment From 03.02.2015 to

18.02.2015 only Date of payment

From 03.02.2015 to

18.02.2015 only

Transaction Id

Transaction Id

Authorised Signatory with Signature No & Br.Seal Applicant’s/Remitter’s Signature Authorised Signatory with Signature No & Br.Seal Applicant’s/Remitter’s Signature