Challan Form (Cash Voucher)

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

CHALLAN FORM (CASH VOUCHER) (Challan Form - 04)

BRANCH COPY
Central Bank of India
Application Fee Details
Recruitment of Office Assistant (Multipurpose)
in Uttar Bihar Gramin Bank
: 3153659412
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

CHALLAN FORM (CASH VOUCHER) (Challan

Form - 04)
CANDIDATES COPY

Central Bank of India


Application Fee Details
Recruitment of Office Assistant (Multipurpose)
in Uttar Bihar Gramin Bank
: 3153659412
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

Candidates Name :Mr./Mrs./Kum ____________________________________

Candidates Name :Mr./Mrs./Kum ____________________________________

Category*

Category*

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth
:
Central Bank of India Branch Name :
Branch Code No# :
Journal No #
:
(7 to 10 digits)

Date of Birth
:
Central Bank of India Branch Name :
Branch Code No# :
Journal No #
:
(7 to 10 digits)

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.

Authorized Signatory
Stamp

*Tick whichever is applicable.


*Tick whichever is applicable.
# Fee receiving branch is advised to write the Deposit Journal No. and branch code no. # Fee receiving branch is advised to write the Deposit Journal No. and branch code
above invariably.
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) (Challan Form - 03)


BRANCH COPY
Central Bank of India
Application Fee Details
Recruitment of Officer Scale I
in Uttar Bihar Gramin Bank
: 3153659296
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

CHALLAN FORM (CASH VOUCHER) (Challan

Form - 03)
CANDIDATES COPY

Central Bank of India


Application Fee Details
Recruitment of Officer Scale I
in Uttar Bihar Gramin Bank
: 3153659296
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

Candidates Name :Mr./Mrs./Kum ____________________________________

Candidates Name :Mr./Mrs./Kum ____________________________________

Category*

Category*

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth
:
Central Bank of India Branch Name :
Branch Code No# :
Journal No #
:
(7 to 10 digits)
Deposit Date

Central Bank of India Branch Name :


Branch Code No# :
Journal No #
:
(7 to 10 digits)
Deposit Date
:

Application Fee / Postage Rs .


(Rupees..only)
Signature of Depositor
Address:.

Phone / Mobi. No.

Application Fee / Postage Rs .


(Rupees..only)

Authorized Signatory
Stamp

Signature of Depositor
Authorized Signatory
Address:.
Stamp

Phone / Mobi. No.


*Tick whichever is applicable.
*Tick whichever is applicable.
# Fee receiving branch is advised to write the Deposit Journal No. and branch code
# Fee receiving branch is advised to write the Deposit Journal No. and branch code no. no. above invariably.
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) (Challan Form - 02)


BRANCH COPY
Central Bank of India
Application Fee Details
Recruitment of Officer Scale II
in Uttar Bihar Gramin Bank
: 3153659321
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

CHALLAN FORM (CASH VOUCHER) (Challan

Form - 02)
CANDIDATES COPY

Central Bank of India


Application Fee Details
Recruitment of Officer Scale II
in Uttar Bihar Gramin Bank
: 3153659321
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

Candidates Name :Mr./Mrs./Kum ____________________________________

Candidates Name :Mr./Mrs./Kum ____________________________________

Category*

Category*

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth
:
Central Bank of India Branch Name :
Branch Code No# :
Journal No #
:
(7 to 10 digits)
Deposit Date

Central Bank of India Branch Name :


Branch Code No# :
Journal No #
:
(7 to 10 digits)

Application Fee / Postage Rs .


(Rupees..only)

Deposit Date

Application Fee / Postage Rs .


(Rupees..only)
Signature of Depositor
Address:.

Phone / Mobi. No.

Authorized Signatory
Stamp

Signature of Depositor
Authorized Signatory
Address:.
Stamp

*Tick whichever is applicable.


Phone / Mobi. No.
# Fee receiving branch is advised to write the Deposit Journal No. and branch code no. *Tick whichever is applicable.
above invariably.
# 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) (Challan Form - 01)


BRANCH COPY
Central Bank of India
Application Fee Details
Recruitment of Officer Scale III
in Uttar Bihar Gramin Bank
: 3153659387
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

CHALLAN FORM (CASH VOUCHER) (Challan

Form - 01)
CANDIDATES COPY

Central Bank of India


Application Fee Details
Recruitment of Officer Scale III
in Uttar Bihar Gramin Bank
: 3153659387
At KALAMBAGH ROAD, MUZAFFARPUR

Account No.

Candidates Name :Mr./Mrs./Kum ____________________________________

Candidates Name :Mr./Mrs./Kum ____________________________________

Category*

Category*

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth

: SC/ST/PC/EXS Only Postage Rs 50/OBC / GEN Application Fee & Potage Rs 400/-

Date of Birth
:
Central Bank of India Branch Name :
Branch Code No# :
Journal No #
:
(7 to 10 digits)
Deposit Date

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.

Central Bank of India Branch Name :


Branch Code No# :
Journal No #
:
(7 to 10 digits)
Deposit Date

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.

You might also like