vijaya bank fee challan

1. 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
BRANCH COPY APPLICANT'S COPY COPY TO BE SENT WITH THE APPLICATION
Recruitment of Specialist/Generalist Officers- 2011-2012 – MMG-S-II Recruitment of Specialist/Generalist Officers- 2011-2012 – MMG-S- Recruitment of Specialist/Generalist Officers- 2011-2012 –MMG-S-
TO SMG-IV II TO SMG-IV 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
Applicant’s Name: Applicant’s Name: Applicant’s Name:
Sri / Smt / Kum Sri / Smt / Kum Sri / Smt / Kum
Date of Birth Date of Birth Date of Birth
[DD-MM-YYYY] [DD-MM-YYYY] [DD-MM-YYYY]
Contact Phone/ Mobile No. Contact Phone/ Mobile No. Contact Phone/ Mobile No.
Email ID: Email ID: Email ID:
Amount in Rupees (Tick Amount in Rupees (Tick Amount in Rupees (Tick
appropriate) ` 50/- ` 300/- appropriate) ` 50/- ` 300/- appropriate) ` 50/- ` 300/-
Category* (Tick appropriate SC ST PWD All **Others Category* (Tick appropriate SC ST PWD All **Others Category* (Tick appropriate SC ST PWD All **Others
box) box) box)
Post Applied for Post Applied for Post Applied for
Post Code Post Code Post Code
` _______/- ` _______/- ` _______/-
Amount deposited [Rupees Amount deposited [Rupees Amount deposited [Rupees
________________________only] ________________________only] ________________________only]
Depositing Branch Name Depositing Branch Name Depositing Branch Name
Depositing Branch
Depositing Branch City/Location Depositing Branch City/Location City/Location
VIJAYA BANK REC_PROJ 2011-12 VIJAYA BANK REC_PROJ 2011-12 VIJAYA BANK REC_PROJ 2011-12
Name of the Account Name of the Account Name of the Account
Scale II–IV Scale II–IV Scale II–IV
Account Number 900900022503005 Account Number 900900022503005 Account Number 900900022503005
Date of Payment ____ / ____ / 2011 Date of Payment ____ / ____ / 2011 Date of Payment ____ / ____ / 2011
Date of Payment [Only From 22.11.2011 to 14.12.2011 only] Date of Payment [Only From 22.11.2011 to 14.12.2011 only] Date of Payment [Only From 22.11.2011 to 14.12.2011 only]
Signature of Candidate / Signature of Candidate / Signature of Candidate /
Depositor: Depositor: Depositor:
Name of the Candidate/ Name of the Candidate/ Name of the Candidate/
Depositor: Depositor: Depositor:
Address: Address: Address:
TO BE FILLED-IN BY THE BRANCH TO BE FILLED-IN BY THE BRANCH TO BE FILLED-IN BY THE BRANCH
Branch Code (Max. 5 digits) , Branch Code:
Branch Branch Code (Max. 5 digits) , Branch Code:
Branch Branch Code (Max. 5 digits) , Branch
Name & Location of the Name:________________________ Name & Location of the Name:________________________ Name & Location of the Name:________________________
receiving Branch where Fees / receiving Branch where Fees / receiving Branch where Fees
Postage Charges Paid Postage Charges Paid / Postage Charges Paid
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- * Tick whichever is applicable. ** All others include GEN/OBC/Ex- * Tick whichever is applicable. ** All others include GEN/OBC/Ex-
Serviceman candidates. Note: Fee receiving branch is advised to write Serviceman candidates. Note: Fee receiving branch is advised to write Serviceman candidates. Note: Fee receiving branch is advised to write
Transaction ID & Branch Code No. above invariably Transaction ID & Branch Code No. above invariably Transaction ID & Branch Code No. above invariably