This document is a challan form for candidates applying for recruitment as officers for the Baroda Uttar Pradesh Gramin Bank. It contains instructions for candidates to fill in their name, date of birth, bank branch name and code where depositing the application fee, the transaction identification number, date and amount of deposit, and spaces for signatures of the depositor and bank stamp. The form provides different fee amounts for candidates of different categories and includes instructions for the bank branch receiving fees to record necessary identification details to process the transaction.

1. BRANCH COPY CANDIDATE COPY
CHALLAN FORM (CASH VOUCHER) CHALLAN FORM (CASH VOUCHER)
For Recruitment of Officer in For Recruitment of Officer in
Baroda Uttar Pradesh Gramin Bank Baroda Uttar Pradesh Gramin Bank
(To be filled by candidate) (To be filled by candidate)
Name of Account B.U.P.G.B. Recruitment Project - Group –‘A’ Name of Account B.U.P.G.B. Recruitment Project - Group –‘A’
Account Number 00520200000638 Account Number 00520200000638
Application Fee/Postal Charges (Tick whichever is applicable) Application Fee/Postal Charges (Tick whichever is applicable)
SC/ST/PWD Rs. 20/- per candidate (Only Postage Charges) SC/ST/PWD Rs. 20/- per candidate (Only Postage Charges)
OTHERS Rs. 100/- per candidate (including Postage charges) OTHERS Rs. 100/- per candidate (including Postage charges)
Applicant’s Name : ………………………………………..…………………… Applicant’s Name : ………………………………………..……………………
Date of Birth : ……………………………………………………………. Date of Birth : …………………………………………………………….
BOB Branch Name : ………………………………………..…………………… BOB Branch Name : ………………………………………..……………………
Branch Code No*. (SOL ID) : ……………………………………………………………... Branch Code No*. (SOL ID) : ……………………………………………………………...
Transaction ID. * . : ………………………………………..…………………… Transaction ID. * . : ………………………………………..……………………
Date of Deposit : ………………………………………..…………………… Date of Deposit : ………………………………………..……………………
Application Fee / postage Rs. : ………………………………………..…………………… Application Fee / postage Rs. : ………………………………………..……………………
(Rupees …………………………………………….only) (Rupees …………………………………………….only)
Signature of Depositor Authorised Signatory Signature of Depositor Authorised Signatory
Phone/Mobile No. …………………….. Branch Stamp Phone/Mobile No. …………………….. Branch Stamp
*Fee receiving branch is advised to invariably write the BRANCH CODE NO. (SOL ID) & *Fee receiving branch is advised to
invariably write the BRANCH CODE NO. (SOL ID) &
TRANSACTION ID as above. WILL BE REQ TRANSACTION ID as above. WILL BE REQ