Professional Documents
Culture Documents
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 Project – 2010 – Specialist/Generalist Officers – FROM Recruitment Project – 2010 – Specialist/Generalist Officers – FROM Recruitment Project – 2010 – Specialist/Generalist Officers –
MMG-S-II TO SMG-IV MMG-S-II TO SMG-IV FROM MMG-S-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 ` 50/- ` 300/- Amount in Rupees ` 50/- ` 300/- Amount in Rupees ` 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]
TO BE FILLED-IN BY THE BRANCH OFFICIALS TO BE FILLED-IN BY THE BRANCH OFFICIALS TO BE FILLED-IN BY THE BRANCH OFFICIALS
Branch Code (Max. 5 digits) , Branch
Branch Code: Branch Code (Max. 5 digits) , Branch
Branch Code: Branch Code (Max. 5 digits) , Branch
Branch Code:
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