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