ANDHRA BANK::HEAD OFFICE::HYDERABAD

RECRUITMENT PROJECT - CLERKS - 2012-13

APPLICATION FEE PAYMENT CHALLAN (APPLICANT'S COPY - to be retained and submitted at the time of Interview)
(ONLY FOR PAYMENT IN ANDHRA BANK BRANCHES)

ANDHRA BANK::HEAD OFFICE::HYDERABAD

RECRUITMENT PROJECT - CLERKS - 2012-13
APPLICATION FEE PAYMENT CHALLAN (BRANCH COPY)
(ONLY FOR PAYMENT IN ANDHRA BANK BRANCHES)

TO BE FILLED IN BY THE CANDIDATE

Applicant's Name
(Please note: Applicant's Name in this challan and on the On-line application should be the same)

TO BE FILLED IN BY THE CANDIDATE

Applicant's Name
(Please note: Applicant's Name in this challan and on the On-line application should be the same)

Category
Gen OBC SC ST PWD EX-SER

Tick [] whichever is applicable

Category
Gen OBC SC ST PWD EX-SER

Tick [] whichever is applicable

Post applied for

GEN/OBC SC /ST/ PWD/EX-SER

CLERK
Tick [] whichever is applicable Rs.150/Rs.50/-

Post applied for

GEN/OBC SC /ST/ PWD/EX-SER

CLERK
Tick [] whichever is applicable Rs.150/Rs.50/-

Application Fee

Application Fee

Amount in Words

Rupees

Amount in Words

Rupees

FOR BRANCH USE

Account No & Name Branch Code & Name

FOR BRANCH USE 117911100000894

ANDHRA BANK RECRUITMENT PROJECT(CLERKS)-2012-13

Account No & Name Branch Code & Name

117911100000894

ANDHRA BANK RECRUITMENT PROJECT(CLERKS)-2012-13

Date of Payment Transaction Id

From 21.04.2012 to 05.05.2012 only

Date of Payment Transaction Id

From 21.04.2012 to 05.05.2012 only

Authorised Signatory with Signature No & Br.Seal

Applicant's/Remitter's Signature

Authorised Signatory with Signature No & Br.Seal

Applicant's/Remitter's Signature