CHALLAN FORM (CASH VOUCHER) (Challan form -01)

BRANCH COPY
Application Fee Details
Recruitment of Officer Scale I , II , III and Office Assistant
Central Madhya Pradesh Gramin Bank

CHALLAN FORM (CASH VOUCHER) (Challan form -01)

CANDIDATES COPY
Application Fee Details
Recruitment of Officer Scale I , II , III and Office Assistant
Central Madhya Pradesh Gramin Bank

Account No. 2000021130000438

Account No. 2000021130000438

Candidates Name .

Candidates Name .

Roll No.

....

Roll No.

....

Post applied

Post applied

Category *

: SC / ST /OBC/ PWD/Gen

Category *

: SC / ST /OBC/ PWD/Gen

Date of Birth

: .

Date of Birth

: .

Central Madhya Pradesh Gramin Bank Branch ..

Central Madhya Pradesh Gramin Bank Branch ..

Branch SOL ID No...

Branch SOL ID No...

Transaction No..

Transaction No..

Deposit Date .
Application fee(Rsonly)
For SC/ST/PWD candidates Rs.20/For all others Rs.100/-

Deposit Date .
Application fee(Rsonly)
For SC/ST/PWD candidates Rs.20/For all others Rs.100/-

Signature of depositor
Address .. ..

Ph/Mob. No. ..

Signature of depositor
Address .

Ph/Mob. No. ..

Signature of Cashier
Stamp

* Tick whichever is applicable

# Fee receiving branch is advised to write the Transaction No. and Branch
SOL ID above invariably.

Signature of Cashier
Stamp

* Tick whichever is applicable

# Fee receiving branch is advised to write the Transaction No. and Branch
SOL ID above invariably.
(This part of Challan will be required to be submitted by the candidate at the
time of interview alongwith the call letter, otherwise candidate will not be
allowed to appear in the interview)