fee payment challan for mmgs-ii to smgs-iv
TRANSCRIPT
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8/8/2019 Fee Payment Challan for Mmgs-II to Smgs-IV
1/1
Applicants Name:
Sri / Smt / Kum
Applicants Name:
Sri / Smt / Kum
Applicants Name:
Sri / Smt / Kum
Date of Birth
[DD-MM-YYYY]
Date of Birth
[DD-MM-YYYY]
Date of Birth
[DD-MM-YYYY]Contact Phone/ Mobile No. Contact Phone/ Mobile No. Contact Phone/ Mobile No.
Email ID: Email ID: Email ID:
Amount in Rupees `300/- Amount in Rupees `300/- Amount in Rupees `300/-ST PWD All **Others SC ST PWD All **Others SC ST PWD All **Others
Post Applied for Post Applied for Post Applied for
Post Code Post Code Post Code
Depositing Branch Name Depositing Branch Name Depositing Branch Name
Depositing Branch City/Location Depositing Branch City/Location Depositing BranchCity/Location
Name of the Account Name of the Account Name of the Account
Account Number Account Number Account Number
Date of Payment Date of Payment Date of Payment
Signature of Candidate /
Depositor:
Signature of Candidate /
Depositor:
Signature of Candidate /
Depositor:
Name of the Candidate/
Depositor:
Name of the Candidate/
Depositor:
Name of the Candidate/
Depositor:
Address: Address: Address:
Transaction ID. Transaction ID. Transaction ID.
Authorised Signatory: Authorised Signatory: Authorised Signatory:
Branch Seal:__________ Branch Seal: Branch Seal:
* Tick whichever is applicable. ** All others include GEN/OBC/Ex-
Serviceman candidates. Note: Fee receiving branch is advised to write
Transaction ID & Branch Code No. above invariably
* Tick whichever is applicable. ** All others include GEN/OBC/Ex-
Serviceman candidates. Note: Fee receiving branch is advised to write
Transaction ID & Branch Code No. above invariably
* Tick whichever is applicable. ** All others include GEN/OBC/Ex-
Serviceman candidates. Note: Fee receiving branch is advised to write
Transaction ID & Branch Code No. above invariably
Branch Code (Max. 5 digits) ,
Name & Location of the
receiving Branch where Fees /
Postage Charges Paid
Branch Code: Branch Code (Max. 5 digits) ,
Name & Location of the
receiving Branch where Fees /
Postage Charges Paid
Branch Code: Branch Code (Max. 5 digits) ,
Name & Location of the
receiving Branch where Fees
/ Postage Charges Paid
Branch Code:
Name:________________________
Name:________________________
Name:________________________
TO BE FILLED-IN BY THE BRANCH OFFICIALS TO BE FILLED-IN BY THE BRANCH OFFICIALS TO BE FILLED-IN BY THE BRANCH OFFICIALS
____ / ____ / 2010 ____ / ____ / 2010 ____ / ____ / 2010
Date of Payment [Only From 20.09.2010 to 15.10.2010 only] Date of Payment [Only From 20.09.2010 to 15.10.2010 only] Date of Payment [Only From 20.09.2010 to 15.10.2010 only]
VIJAYA BANK REC-PROJ-2010-MMG-II
SMGIV
VIJAYA BANK REC-PROJ-2010-MMG-
II SMGIV
VIJAYA BANK REC-PROJ-2010-MMG-
II SMGIV
900900022503003 900900022503003 900900022503003
Amount deposited
`_______/-Amount deposited
`_______/-Amount deposited
`_______/-[Rupees
________________________only]
[Rupees
________________________only]
[Rupees
________________________only]
`50/- `50/- `50/-Category* (Tick appropriate
box)
SC Category* (Tick appropriate
box)
Category* (Tick appropriate
box)
Recruitment Project 2010 Specialist/Generalist Officers FROM
MMG-S-II TO SMG-IV
Recruitment Project 2010 Specialist/Generalist Officers FROM
MMG-S-II TO SMG-IV
Recruitment Project 2010 Specialist/Generalist Officers
FROM MMG-S-II TO SMG-IV
TO BE FILLED-IN BY THE CANDIDATE IN BLOCK LETTERS TO BE FILLED-IN BY THE CANDIDATE IN BLOCK LETTERS TO BE FILLED-IN BY THE CANDIDATE IN BLOCK LETTERS
BRANCH COPY APPLICANT'S COPY COPY TO BE SENT WITH THE APPLICATION
Fee Payment Challan Copy 1 of 3 Fee Payment Challan Copy 2 of 3 Fee Payment Challan Copy 3 of 3
APPLICATION FEE / POSTAL CHARGES PAYMENT CHALLAN APPLICATION FEE / POSTAL CHARGES PAYMENT CHALLAN APPLICATION FEE / POSTAL CHARGES PAYMENT CHALLAN