CHALLAN FORM (CASH DEPOSIT VOUCHER) BRANCH COPY STATE BANK OF INDIA-01 Application Fee Details Recruitment of Officer Scale-I in PURVANCHAL BANK Account No : CHALLAN FORM (CASH DEPOSIT VOUCHER) CANDIDATE’S COPY STATE BANK OF INDIA-01 Application Fee Details Affix Pass port Recruitment of Officer Scale-I size Photograph in PURVANCHAL BANK 33742282941 at SBI Golghar Branch ( code-3205) Gorakhpur Candidate’s Name : Mr./Mrs/Kum. Account No Category* Category* : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Date of Birth SBI Branch Name : : 33742282941 at SBI Golghar Branch ( code-3205) Gorakhpur Candidate’s Name : Mr./Mrs/Kum. : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Date of Birth SBI Branch Name : Branch Code No# : Branch Code No# : Journal No # : Journal No # : Deposit Date : 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. : 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 interview along with a photograph, otherwise the candidate will not be allowed to appear at the interview.) CHALLAN FORM (CASH DEPOSIT VOUCHER) BRANCH COPY STATE BANK OF INDIA-02 Application Fee Details Recruitment of Office Assistant in PURVANCHAL BANK Account No : 33740850462 at SBI Golghar Branch ( code-3205) Gorakhpur Candidate’s Name : Mr./Mrs/Kum. CHALLAN FORM (CASH DEPOSIT VOUCHER) CANDIDATE’S COPY STATE BANK OF INDIA-02 Application Fee Details Affix Pass port Recruitment of Office Assistant size Photograph in PURVANCHAL BANK Account No : 33740850462 at SBI Golghar Branch ( code-3205) Gorakhpur Candidate’s Name : Mr./Mrs/Kum. Category* : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Category* Date of Birth : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Date of Birth SBI Branch Name : SBI Branch Name : Branch Code No# Branch Code No# : Journal No # : : Journal No # : Deposit Date 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. 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 interview along with a photograph, otherwise the candidate will not be allowed to appear at the interview.) CHALLAN FORM (CASH DEPOSIT VOUCHER) BRANCH COPY PURVANCHAL BANK-01 Application Fee Details Recruitment of Officer Scale-I in PURVANCHAL BANK CHALLAN FORM (CASH DEPOSIT VOUCHER) CANDIDATE’S COPY PURVANCHAL BANK-01 Application Fee Details Affix Pass port Recruitment of Officer Scale-I size Photograph in PURVANCHAL BANK Account No : 75039025037 At Purvanchal Bank Main Branch ( code-0188) Gorakhpur Candidate’s Name : Mr./Mrs/Kum. Account No Category* : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Category* Date of Birth : 75039025037 At Purvanchal Bank Main Branch ( code-0188) Gorakhpur Candidate’s Name : Mr./Mrs/Kum. : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Date of Birth Branch Name : Branch Name : Branch Code No# : Branch Code No# : Journal No # : Journal No # : Deposit Date Deposit Date : : Application Fee/Postage Rs........................ (Rupees..........................................................................................only) Application Fee/Postage Rs........................ (Rupees..........................................................................................only) Signature of Depositor Address:.................... ................................... Phone/Mobi. No. 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. Authorized Signatory Stamp * 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 interview along with a photograph, otherwise the candidate will not be allowed to appear at the interview.) CHALLAN FORM (CASH DEPOSIT VOUCHER) CHALLAN FORM (CASH DEPOSIT VOUCHER) BRANCH COPY CANDIDATE’S COPY PURVANCHAL BANK-02 PURVANCHAL BANK -02 Application Fee Details Application Fee Details Affix Pass port Recruitment of Office Assistant Recruitment of Office Assistant size Photograph in PURVANCHAL BANK in PURVANCHAL BANK Account No : 75039024237 Account No : 75039024237 At Purvanchal Bank Main Branch ( code-0188) At Purvanchal Bank Main Branch ( code-0188) Gorakhpur Gorakhpur Candidate’s Name : Mr./Mrs/Kum. Candidate’s Name : Mr./Mrs/Kum. Category* : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Date of Birth Branch Name : Category* : SC/ST/PC/EXS – Rs 20/- only OBC/GEN – Rs.100/- only : Date of Birth Branch Name : Branch Code No# : Branch Code No# : Journal No # : Journal No # : Deposit Date : 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. : 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 interview along with a photograph, otherwise the candidate will not be allowed to appear at the interview.)
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