FEE PAYMENT CHALLAN FOR

FEE PAYMENT CHALLAN FOR

Employees State Insurance Corporation
Employees State Insurance Corporation

Applicant's Copy
Bank copy
(To be retained by Applicant)
(To be retained by SBI Branch)
Deposit in any branch of State Bank of India
Deposit in any branch of State Bank of India
Post Applied for : UPPER DIVISION CLERK
Post Applied for : UPPER DIVISION CLERK
Challan can be deposited after minimum 24 hours of generation of
Challan can be deposited after minimum 24 hours of generation of challan on any bank working day
challan on any bank working day
Challan Generate
Challan Generate 09/12/2015
09/12/2015 Date
Date
Use CBS Screen No.
Use CBS Screen No. 8888 Fee Type: 265 Fee Type: 265
8888
Reg.Id/Ref.No.: 4220110318
Reg.Id/Ref.No.: 4220110318
Date Of Birth: 15/07/1980
Date Of Birth: 15/07/1980
Name of Candidate: GYANARAJ BIRTIA
Name of Candidate: GYANARAJ BIRTIA
Mobile No.: 9937091356
Mobile No.: 9937091356
Email Id: bgyanaraj@gmail.com
Email Id: bgyanaraj@gmail.com
Category: UR
Category: UR
Amount(in Figures) (Fee+Bank Charges) Rs.300.00
Amount(in Figures) (Fee+Bank Charges) Rs.300.00
1000x
1000x
500x
500x
100x
100x
50x
50x
10x
10x
5x
5x
Amount (in words)
Amount (in words)
ThreeHundred
ThreeHundred
Signature of Depositor
Signature of Depositor
Details below should be filled-in by the Bank
Details below should be filled-in by the Bank
Journal No.:
Journal No.:
Date of
Date of
Transaction:
Transaction:

Branch Code
Signature of Bank's Official with Seal
Candidate can check the confirmation of fees payment after
minimum two working days (48 Hrs.)of depositing the fees.
There after candidate can Login for step-II for completion of
application.
Branch Code
Signature of Bank's Official with Seal
Candidate can check the confirmation of fees payment after
minimum two working days (48 Hrs.)of depositing the fees.
There after candidate can Login for step-II for completion of
application.