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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)

Candidate's Copy

RECTT. ADVT. NO. 07/2011 RECTT. ADVT. NO. 07/2011 RECTT. ADVT. NO. 07/2011

RINL RECRUITMENT A/C NO. 30589461220 Date: ___/___/2011

RINL RECRUITMENT A/C NO. 30589461220 Date: ___/___/2011 RINL RECRUITMENT A/C NO. 30589461220

Date: ___/___/2011

APPLICATION FEES FOR THE POST OF SPECIALIST/JR. SPECIALIST (GEN MED) /

SPECIALIST/JR.SPECIALIST (ANAES)/

ASST EXECUTIVE (QA & TD)/TECHNICIAN (QA & TD)

APPLICATION FEES FOR THE POST OF SPECIALIST/JR. SPECIALIST (GEN MED) /

SPECIALIST/JR.SPECIALIST (ANAES)/

ASST EXECUTIVE (QA & TD)/TECHNICIAN (QA & TD)

APPLICATION FEES FOR THE POST OF SPECIALIST/JR. SPECIALIST (GEN MED) /

SPECIALIST/JR.SPECIALIST (ANAES)/

ASST EXECUTIVE (QA & TD)/TECHNICIAN (QA & TD)

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

Bank Charges Bank Charges Bank Charges

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:

Deposited by___________________________

____________________

________________________ ____________________

________________________ ____________________

________________________

(Compulsory) (Compulsory) (Compulsory)

Last date of application is 12th December, 2011

Referensi

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