CHALLAN FORM (CASH VOUCHER) (Challan form -01) CHALLAN FORM (CASH VOUCHER) (Challan form -01)

BRANCH COPYApplication Fee Details

Recruitment of Officer Scale I , II , III and Office Assistant Central Madhya Pradesh Gramin Bank

Account No. 2000021130000438 Candidates Name .

Roll No. ....

Post applied

Category * : SC / ST /OBC/ PWD/Gen

Date of Birth : .

Central Madhya Pradesh Gramin Bank Branch .. Branch SOL ID No... Transaction No.. Deposit Date . Application fee(Rsonly) For SC/ST/PWD candidates Rs.20/- For all others Rs.100/- Signature of depositor Signature of Cashier Address .. .. Stamp Ph/Mob. No. .. * Tick whichever is applicable # Fee receiving branch is advised to write the Transaction No. and Branch SOL ID above invariably.

CANDIDATES COPY Application Fee Details

Recruitment of Officer Scale I , II , III and Office Assistant Central Madhya Pradesh Gramin Bank

Account No. 2000021130000438 Candidates Name .

Roll No. ....

Post applied

Category * : SC / ST /OBC/ PWD/Gen

Date of Birth : .

Central Madhya Pradesh Gramin Bank Branch .. Branch SOL ID No... Transaction No.. Deposit Date . Application fee(Rsonly) For SC/ST/PWD candidates Rs.20/- For all others Rs.100/- Signature of depositor Signature of Cashier Address . Stamp Ph/Mob. No. .. * Tick whichever is applicable # Fee receiving branch is advised to write the Transaction No. and Branch SOL ID above invariably. (This part of Challan will be required to be submitted by the candidate at the time of interview alongwith the call letter, otherwise candidate will not be allowed to appear in the interview)