(Candidates Copy )

(REPCO Banks Copy)

(Branch Copy)

Challan for remittance of application fee for

Challan for remittance of application fee for

Challan for remittance of application fee for

Repco Bank Recruitment of Jr. Assistant / Clerk

Date : -----/-----/----------Account No :

Repco Bank Recruitment of Jr. Assistant / Clerk

Date : -----/-----/----------Account No : 6062342382 North Usman Road Branch Chennai -17

Repco Bank Recruitment of Jr. Assistant / Clerk

Date : -----/-----/----------Account No :

6062342382

6062342382

North Usman Road Branch Chennai -17

North Usman Road Branch Chennai-17

Multi Utility Company Code 0058REP1

Applicants Name : (To be filled by the applicant) Mr./Mrs./Kum. .. Application Fees excluding Bank Charges For SC/ST/Repatriate For General & all others Branch Name Branch Code MUP No Deposit Date : : : : : : 300/400/-

Multi Utility Company Code 0058REP1

Applicants Name : (To be filled by the applicant) Mr./Mrs./Kum. .. Application Fees excluding Bank Charges For SC/ST/Repatriate For General & all others Branch Name Branch Code MUP No Deposit Date : : : : : : 300/400/-

Multi Utility Company Code 0058REP1

Applicants Name : (To be filled by the applicant) Mr./Mrs./Kum. .. Application Fees excluding Bank Charges For SC/ST/Repatriate For General & all others Branch Name Branch Code MUP No Deposit Date : : : : : : 300/400/-

(Rupees _________________________________ only.) Transaction ID/ Journal No. :

(Rupees ________________________________ only.) Transaction ID/ Journal No. :

(Rupees _________________________________ only.) Transaction ID/ Journal No. :

Signature of the remitter

Signature of the authorised official with Branch Seal

Signature of the remitter

Signature of the authorised official with Branch Seal

Signature of the remitter

Signature of the authorised official with Branch Seal

Fee receiving branch is advised to write the Branch Name, Branch Code, MUP No. Transaction ID/Journal No., Deposit Date invariably and handover the REPCO Banks copy and Candidates copy to the remitter, duly signed.

Fee receiving branch is advised to write the Branch Name, Branch Code, MUP No. Transaction ID/Journal No. Deposit Date invariably and handover the REPCO Banks copy and Candidates copy to the remitter, duly signed.

Fee receiving branch is advised to write the Branch Name, Branch Code, MUP No. Transaction ID/Journal No., Deposit Date invariably and handover the REPCO Banks copy and Candidates copy to the remitter, duly signed.