This document contains three copies of a fee payment challan for candidates applying for recruitment with Vijaya Bank. The challan collects information such as the applicant's name, date of birth, contact details, category, the post applied for and code, amount of fees paid, and bank details. One copy is for the branch, one is for the applicant, and one is to be sent with the application. Candidates must fill out the challan in block letters and sign before the date of payment between November 22, 2011 to December 14, 2011.

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