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Challan Bank Copy VSP Copy

SBI Branch Name: SBI Branch Name: SBI Branch Name:

Branch Code: Branch Code: Branch Code:

Name of Candidate (In Block letters):

Name of Candidate (In Block letters):

Name of Candidate (In Block letters):

Date of Birth (DD/MM/YYYY)

Date of Birth (DD/MM/YYYY)

Date of Birth (DD/MM/YYYY)

Fee Amount: `300/- Fee Amount: ` 300/- Fee Amount: ` 300/-

Bank Charges Bank Charges Bank Charges

`25/- `25/- `25/- APPLICATION FEES FOR THE POST OF MEDICAL /

HORTICULTURE PROFESSIONALS

APPLICATION FOR THE POST OF MEDICAL / HORTICULTURE PROFESSIONALS

APPLICATION FEES FOR THE POST OF MEDICAL / HORTICULTURE PROFESSIONALS

RINL RECRUITMENT A/C NO. 30589461220

RECTT. ADVT. NO.07/2012 RECTT. ADVT. NO.07/2012 RECTT. ADVT. NO.07/2012

Date: ___/___/2012

RINL RECRUITMENT A/C NO. 30589461220 RINL RECRUITMENT A/C NO. 30589461220

Candidate's Copy

Date: ___/___/2012 Date: ___/___/2012

`25/- (If not deposited in

Visakhapatnam Steel Plant Branch, Code

no.6318) in Br. Code 6318 - NIL

`25/- (If not deposited in

Visakhapatnam Steel Plant Branch, Code

no.6318) in Br. Code 6318 - NIL

`25/- (If not deposited in

Visakhapatnam Steel Plant Branch, Code

no.6318) in Br. Code 6318 - NIL Total amount (By

cash only)

` Total amount (By cash

only)

` Total amount (By

cash only)

` Total amount in

words:

Total amount in words:

Total amount in words:

Amount Received Amount Received Amount Received

Signature of the cashier with stamp

Signature of the cashier with stamp

Signature of the cashier with stamp Journal Number

(Compulsory)

Journal Number (Compulsory)

Journal Number (Compulsory) Deposited by___________________________

`____________________

________________________

`____________________

________________________

`____________________

________________________

Deposited by___________________________

For Bank use only: For Bank use only:

` __________ ` __________ ` __________

For Bank use only:

Last date of application is 30th July 2012

Deposited by___________________________

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