CHALLAN FORM (CASH VOUCHER) BRANCH COPY STATE BANK OF INDIA- 01 Application Fee Details Recruitment of Officer Scale-I,II,III

in Purvanchal Gramin Bank Account No : 31755266778 at SBI Golghar Branch ( code-3205) Gorakhpur Candidates Name : Mr./Mrs/Kum. Category* Date of Birth : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs.400/Account No

CHALLAN FORM (CASH VOUCHER) CANDIDATES COPY STATE BANK OF INDIA- 01 Application Fee Details Affix Pass port Recruitment of Officer Scale-I,II,III size in Purvanchal Gramin Bank Photograph 31755266778 at SBI Golghar Branch ( code-3205) Gorakhpur Candidates Name : Mr./Mrs/Kum. Category* Date of Birth : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs.400/:

SBI Branch Name : SBI Branch Name : Branch Code No# Branch Code No# Journal No # Deposit Date : Application Fee/Postage Rs........................ (Rupees..........................................................................................only) : Journal No # : Deposit Date : : :

Application Fee/Postage Rs........................ (Rupees..........................................................................................only)

Signature of Depositor Address:.................... ................................... Phone/Mobi. No.

Authorized Signatory Stamp

* Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.

Signature of Depositor Authorized Signatory Address:.................... Stamp ................................... Phone/Mobi. No. * Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.
(This part of the challan will be required to be submitted by the candidate at the time of written test along with a photograph, otherwise the candidate will not be allowed to appear at the examination.)

CHALLAN FORM (CASH VOUCHER) BRANCH COPY STATE BANK OF INDIA- 02 Application Fee Details Recruitment of Office Assistant in Purvanchal Gramin Bank Account No 31755194257 at SBI Golghar Branch ( code-3205) Gorakhpur Candidates Name : Mr./Mrs/Kum. Category* SC/ST/PC/EXS Only Postage Rs.100/OBC/GEN - Application Fee & Postage Rs.400/: : Account No

CHALLAN FORM (CASH VOUCHER) CANDIDATES COPY STATE BANK OF INDIA- 02 Application Fee Details Affix Pass port Recruitment of Office Assistant size Photograph in Purvanchal Gramin Bank 31755194257 at SBI Golghar Branch ( code-3205) Gorakhpur Candidates Name : Mr./Mrs/Kum. Category Date of Birth : : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs.400/:

Date of Birth

SBI Branch Name : SBI Branch Name : Branch Code No# Branch Code No# Journal No # Deposit Date : : Journal No # : Deposit Date : : :

Application Fee/Postage Rs........................ (Rupees..........................................................................................only) Signature of Depositor Address:.................... ................................... Phone/Mobi. No. Authorized Signatory Stamp

Application Fee/Postage Rs........................ (Rupees..........................................................................................only) Signature of Depositor Authorized Signatory Address:.................... Stamp ................................... Phone/Mobi. No. * Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.
(This part of the challan will be required to be submitted by the candidate at the time of written test along with a photograph, otherwise the candidate will not be allowed to appear at the examination.)

* Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.

CHALLAN FORM (CASH VOUCHER) BRANCH COPY PURVANCHAL GRAMIN BANK- 01 Application Fee Details Recruitment of Officer Scale-I,II,III in Purvanchal Gramin Bank Account No

CHALLAN FORM (CASH VOUCHER) CANDIDATES COPY PURVANCHAL GRAMIN BANK - 01 Application Fee Details Affix Pass port Recruitment of Officer Scale-I,II,III size in Purvanchal Gramin Bank Photograph

: 75010819464 Account No : 75010819464 at Main Branch ( code-188) Mohaddipur Gorakhpur at Main Branch ( code-188) Mohaddipur, Gorakhpur Candidates Name : Mr./Mrs/Kum. Candidates Name : Mr./Mrs/Kum. Category* Date of Birth Branch Name : Branch Code No# Journal No # Deposit Date : : : : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs.400/Category* Date of Birth Branch Name : Branch Code No# Journal No # Deposit Date : : : : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs. 400/-

Application Fee/Postage Rs........................ (Rupees..........................................................................................only) Signature of Depositor Address:.................... ................................... Phone/Mobi. No. Authorized Signatory Stamp

Application Fee/Postage Rs........................ (Rupees..........................................................................................only) Signature of Depositor Authorized Signatory Address:.................... Stamp ................................... Phone/Mobi. No. * Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.
(This part of the challan will be required to be submitted by the candidate at the time of written test along with a photograph, otherwise the candidate will not be allowed to appear at the examination.)

* Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.

CHALLAN FORM (CASH VOUCHER) BRANCH COPY PURVANCHAL GRAMIN BANK- 02 Application Fee Details Recruitment of Office Assistant in Purvanchal Gramin Bank Account No

CHALLAN FORM (CASH VOUCHER) CANDIDATES COPY PURVANCHAL GRAMIN BANK - 02 Application Fee Details Affix Pass port Recruitment of Office Assistant size Photograph in Purvanchal Gramin Bank

: 75010819339 Account No : 75010819339 at Main Branch ( code-188) Mohaddipur Gorakhpur at Main Branch ( code-188) Mohaddipur, Gorakhpur Candidates Name : Mr./Mrs/Kum. Candidates Name : Mr./Mrs/Kum. Category* Date of Birth Branch Name : Branch Code No# Journal No # : : : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs. 400/Category* Date of Birth Branch Name : Branch Code No# Journal No # : : : SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs. 400/-

Deposit Date

Deposit Date

Application Fee/Postage Rs........................ (Rupees..........................................................................................only)

Application Fee/Postage Rs........................ (Rupees..........................................................................................only)

Signature of Depositor Address:.................... ................................... Phone/Mobi. No.

Authorized Signatory Stamp

* Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.

Signature of Depositor Authorized Signatory Address:.................... Stamp ................................... Phone/Mobi. No. * Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.
(This part of the challan will be required to be submitted by the candidate at the time of written test along with a photograph, otherwise the candidate will not be allowed to appear at the examination.)