Pay-in-Slip for Recruitment of Specialist Officers 2011-12 Payment can be made at any branch of Indian Bank Paid into

credit of GEN/OBC Application fee a/c- Specialist Officers 2011-12 OR SC/ST/PWD Postages a/c Specialist Recruitment

Banks Copy Date: ______________ Post Code No.: Name of the Post:

Account Nos: Paying Branch Name: 1. For GENERAL/ OBC Category (Rs. 400/-) - 6023605101 2. For SC / ST/ PWD Category (Rs. 50/-) - 6023605418 (account maintained at Royapettah, Chennai (CBS Code: 93)) Paying Branch Code: Rupees (in words): ___________________________________________________________ ____________________________________________________

Rs.

Name and Address of the Candidate with Pincode

Mobile : Telephone :

() Tick as Applicable For GENERAL/ OBC category Rs.400/-Signature of the depositor

For Reserved category SC/ST/PWD Rs. 50/-

* For Banks Use (not to be filled in by the Candidate). Deposit Journal Number Signature of the Cashier Branch CBS code, date of remittance and branch Seal
Amount paid into Credit of (to be filled by Branch)

6023605101

6023605418

Candidates Copy Pay-in-Slip for Recruitment of Specialist Officers 2011 - 12 Payment can be made at any branch of Indian Bank Date: ______________ Paid into credit of Post Code No.: GEN/OBC Application fee a/c- Specialist Officers 2011-12 OR Name of the Post: SC/ST/PWD Postages a/c Specialist Recruitment Account Nos: Paying Branch Name: 1. For GENERAL/ OBC Category (Rs. 400/-) - 6023605101 2. For SC / ST/ PWD Category (Rs. 50/-) - 6023605418 (account maintained at Royapettah, Chennai (CBS Code: 93)) Paying Branch Code: Rupees (in words): ___________________________________________________________ ____________________________________________________

Rs.

Name and Address of the Candidate with Pincode

Mobile : Telephone :

() Tick as Applicable For GENERAL/ OBC category Rs.400/-Signature of the depositor

For Reserved category SC/ST/PWD Rs. 50/-

* For Banks Use (not to be filled in by the Candidate). Deposit Journal Number Signature of the Cashier Branch CBS code, date of remittance and branch Seal
Amount paid into Credit of (to be filled by Branch)

6023605101

6023605418

Note: Original of Candidates copy of the Challan after payment of application fee has to be submitted to IBPS along with System generated Print-out of Application submitted on-line.