AAI

CHALLAN FOR FEE PAYMENT

BY CASH ONLY
BANK COPY
(To be retained by SBI Branch)
DEPOSIT IN ANY BRANCH OF

STATE BANK OF INDIA

Fee can be deposited at any SBI Branch after minimum 24
hours of generation of challan on any working day

CHALLAN GENERATION DATE

09/05/2016

SBI CBS SCREEN NUMBER

FEE TYPE

228

8888
REFERENCE NUMBER

104140

DATE OF BIRTH
NAME OF
CANDIDATE

19/Sep/1991

MOBILE NUMBER

9669007154

JITENDRA SINGH

1000

AMOUNT (IN FIGURES)

500

(FEE + BANK CHARGES)

100

1000 /-

50

20

10

Rs.

AMOUNT (IN WORDS)

(FEE + BANK CHARGES)

Rs. ONE THOUSAND

TOTAL

1000 /-

Denominations

Signature of
Depositor :
****************************************

Details below to be filled-in by the Bank

****************************************

SBI JOURNAL NO.

Date of Receipt

____________

_______________________

Branch Code

_________________________

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AAI

|
|
CHALLAN FOR FEE PAYMENT
|
BY CASH ONLY
|
APPLICANTS COPY
|
(To be retained by Applicant)
|
DEPOSIT IN ANY BRANCH OF
|
STATE BANK OF INDIA
|
|
|
Fee can be deposited at any SBI Branch after minimum 24
|
hours of generation of challan on any working day
|
CHALLAN GENERATION DATE 09/05/2016
|
|
SBI CBS SCREEN NUMBER
FEE TYPE
|
|
|
REFERENCE NUMBER 104140
|
DATE OF BIRTH
19/Sep/1991
|
NAME OF
JITENDRA SINGH
|
CANDIDATE
|
|
MOBILE NUMBER
9669007154
|
1000 X
|
500 X
AMOUNT (IN FIGURES)
|
(FEE + BANK CHARGES)
100 X
|
|
50 X
Rs. 1000 /|
20 X
|
10 X
|
AMOUNT (IN WORDS)
5 X
|
(FEE + BANK CHARGES)
2 X
|
|
1 X
Rs. ONE THOUSAND
|
1000 /- |
TOTAL
|
Denominations
|
Signature of
|
Depositor :
|
|
****************************************
|
Details below to be filled-in by the Bank
|
****************************************
Date of Receipt
SBI JOURNAL NO.

8888

____________

_________________________

AAI COPY
(To be sent to DSIIDC)
DEPOSIT IN ANY BRANCH OF

STATE BANK OF INDIA

Fee can be deposited at any SBI Branch after minimum 24
hours of generation of challan on any working day

_______________________

09/05/2016

CHALLAN GENERATION DATE

SBI CBS SCREEN NUMBER

228

Branch Code

Signature of Banks
Official with Seal

AAI
CHALLAN FOR FEE PAYMENT
BY CASH ONLY

FEE TYPE

228

8888
REFERENCE NUMBER 104140
DATE OF BIRTH
NAME OF
CANDIDATE

19/Sep/1991

MOBILE NUMBER

9669007154

JITENDRA SINGH

1000

AMOUNT (IN FIGURES)

500

(FEE + BANK CHARGES)

100

50

20

Rs.

1000

/-

AMOUNT (IN WORDS)

(FEE + BANK CHARGES)

Rs. ONE THOUSAND

10

TOTAL

1000 /-

Denominations

Signature of
Depositor :
****************************************

Details below to be filled-in by the Bank

****************************************

SBI JOURNAL NO.

Date of Receipt

____________

_______________________

Branch Code

Signature of Banks
Official with Seal

_________________________

Signature of Banks
Official with Seal