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CHALLAN FORM (CASH VOUCHER) BRANCH COPY KASHI GOMTI SAMYUT GRAMIN BANK - 01 Application Fee Details Recruitment

of Officer Scale - III in Kashi Gomti Samyut Gramin Bank Account No : 616401010050067
at KASHI GOMTI SAMYUT GRAMIN BANK Faatman Road Branch (code 61640) Maldahiya Varanasi

CHALLAN FORM (CASH VOUCHER) CANDIDATE'S COPY KASHI GOMTI SAMYUT GRAMIN BANK - 01 Application Fee Details Photo Recruitment of Officer Scale - III in Kashi Gomti Samyut Gramin Bank Account No : 616401010050067
at KASHI GOMTI SAMYUT GRAMIN BANK Faatman Road Branch (code 61640) Maldahiya Varanasi

Candidate's Name Category*

: Mr./Mrs./Kum. : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Candidate's Name Category*

: Mr./Mrs./Kum. : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : : : : Date:

Date of Birth Branch Name Branch Sol ID.#

Date of Birth Branch Name Branch Sol ID.# Transaction ID No.# Deposit Date

Transaction ID No.# : : Deposit Date :

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

Signature of Depositor Address.. . Phone/Mobile No.

Authorized Signatory Stamp

*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably.

Signature of Depositor Authorized Signatory Address.. Stamp . Phone/Mobile No. *Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction IDNo., date and branch Sol ID above invariably.
(This part of the challan will be required to be submitted by the candidate at the time of written test alongwith a photograph, otherwise the candidate will not be allowed to appear at the examination)

CHALLAN FORM (CASH VOUCHER) BRANCH COPY UNION BANK OF INDIA - 01 Application Fee Details Recruitment of Officer Scale - III in Kashi Gomti Samyut Gramin Bank Account No :360601020050012
at UNION BANK OF INDIA Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

CHALLAN FORM (CASH VOUCHER) CANDIDATE'S COPY UNION BANK OF INDIA - 01 Application Fee Details Recruitment of Officer Scale - III in Kashi Gomti Samyut Gramin Bank Account No : 360601020050012
at UNION BANK OF INDIA Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi
Photo

Candidate's Name Category*

: Mr./Mrs./Kum. : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Candidate's Name Category*

: Mr./Mrs./Kum. : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : : : : Date:

Date of Birth Branch Name Branch Sol ID.#

Date of Birth Branch Name Branch Sol ID.# Transaction ID No.# Deposit Date

Transaction ID No.# : : Deposit Date :

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

Signature of Depositor Address.. . Phone/Mobile No.

Authorized Signatory Stamp

*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID. above invariably.

Signature of Depositor Authorized Signatory Address.. Stamp . Phone/Mobile No. *Tick whichever is applicable. # Fee receiving branch is advised to write theTransaction ID No., date and branch Sol ID above invariably.
(This part of the challan will be required to be submitted by the candidate at the time ofwritten test alongwith a photograph, otherwise the candidate will not be allowed to appear at the examination)

CHALLAN FORM (CASH VOUCHER) BRANCH COPY KASHI GOMTI SAMYUT GRAMIN BANK - 02 Application Fee Details Recruitment of Officer Scale - II in Kashi Gomti Samyut Gramin Bank Account No : 616401010050066
at KASHI GOMTI SAMYUT GRAMIN BANK Faatman Road Branch (code 61640) Maldahiya Varanasi

CHALLAN FORM (CASH VOUCHER) CANDIDATE'S COPY KASHI GOMTI SAMYUT GRAMIN BANK - 02 Application Fee Details Photo Recruitment of Officer Scale - II in Kashi Gomti Samyut Gramin Bank Account No : 616401010050066
at KASHI GOMTI SAMYUT GRAMIN BANK Faatman Road Branch (code 61640) Maldahiya Varanasi

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Date of Birth Branch Name Branch Sol ID.#

Date of Birth Branch Name Branch Sol ID.#

Transaction ID No.# : : Deposit Date :

Transaction ID No.# : : Deposit Date :

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

Signature of Depositor Address.. . Phone/Mobile No.

Authorized Signatory Stamp

*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably.

Signature of Depositor Authorized Signatory Address.. Stamp . Phone/Mobile No. *Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably.
(This part of the challan will be required to be submitted by the candidate at the time ofwritten test alongwith a photograph, otherwise the candidate will not be allowed to appear at the examination)

CHALLAN FORM (CASH VOUCHER) BRANCH COPY UNION BANK OF INDIA - 02 Application Fee Details Recruitment of Officer Scale - II in Kashi Gomti Samyut Gramin Bank Account No :360601020050011
at UNION BANK OF INDIA Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

CHALLAN FORM (CASH VOUCHER) CANDIDATE'S COPY UNION BANK OF INDIA - 02 Application Fee Details Photo Recruitment of Officer Scale - II in Kashi Gomti Samyut Gramin Bank Account No :360601020050011
at UNION BANK OF INDIA Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Date of Birth Branch Name Branch Sol ID.#

Date of Birth Branch Name Branch Sol ID.#

Transaction ID No.# : : Deposit Date :

Transaction ID No.# : : Deposit Date :

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

Signature of Depositor Address.. . Phone/Mobile No.

Authorized Signatory Stamp

Signature of Depositor Address.. . Phone/Mobile No. *Tick whichever is applicable.

Authorized Signatory Stamp

*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID. above invariably.

# Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably. (This part of the challan will be required to be submitted by the candidate at the time ofwritten test alongwith a photograph, otherwise the candidate will not be allowed to appear at the examination)

CHALLAN FORM (CASH VOUCHER) BRANCH COPY KASHI GOMTI SAMYUT GRAMIN BANK - 03 Application Fee Details Recruitment of Officer Scale - I in Kashi Gomti Samyut Gramin Bank Account No : 616401010050065
at KASHI GOMTI SAMYUT GRAMIN BANK Faatman Road Branch (code 61640) Maldahiya Varanasi

CHALLAN FORM (CASH VOUCHER) CANDIDATE'S COPY KASHI GOMTI SAMYUT GRAMIN BANK - 03 Application Fee Details Photo Recruitment of Officer Scale - I in Kashi Gomti Samyut Gramin Bank Account No : 616401010050065
at KASHI GOMTI SAMYUT GRAMIN BANK Faatman Road Branch (code 61640) Maldahiya Varanasi

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Date of Birth Branch Name Branch Sol ID.#

Date of Birth Branch Name Branch Sol ID.#

Transaction ID No.# : : Deposit Date :

Transaction ID No.# : : Deposit Date :

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

Signature of Depositor Address.. . Phone/Mobile No.

Authorized Signatory Stamp

*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably.

Signature of Depositor Authorized Signatory Address.. Stamp . Phone/Mobile No. *Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably.
(This part of the challan will be required to be submitted by the candidate at the time ofwritten test alongwith a photograph, otherwise the candidate will not be allowed to appear at the examination)

CHALLAN FORM (CASH VOUCHER) BRANCH COPY UNION BANK OF INDIA - 03 Application Fee Details Recruitment of Officer Scale - I in Kashi Gomti Samyut Gramin Bank Account No :360601020050010
at UNION BANK OF INDIA Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

CHALLAN FORM (CASH VOUCHER) CANDIDATE'S COPY UNION BANK OF INDIA - 03 Application Fee Details Photo Recruitment of Officer Scale - I in Kashi Gomti Samyut Gramin Bank Account No :360601020050010
at UNION BANK OF INDIA Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Candidate's Name : Mr./Mrs./Kum. Category* : SC/ST/PWD - only Postage Rs.100/: OBC/GEN - Application Fee + Postage Rs. 500/: : : Date:

Date of Birth Branch Name Branch Sol ID.#

Date of Birth Branch Name Branch Sol ID.#

Transaction ID No.# : : Deposit Date :

Transaction ID No.# : : Deposit Date :

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

App. Fee/Postage Rs.: (Rupees ----------------------------------------------------------------------- only)

Signature of Depositor Address.. . Phone/Mobile No.

Authorized Signatory Stamp

Signature of Depositor Address.. . Phone/Mobile No. *Tick whichever is applicable.

Authorized Signatory Stamp

*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID. above invariably.

# Fee receiving branch is advised to write the Transaction ID No., date and branch Sol ID above invariably. (This part of the challan will be required to be submitted by the candidate at the time ofwritten test alongwith a photograph, otherwise the candidate will not be allowed to appear at the examination)

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