CHALLAN FOR STATE BANK OF INDIA

Collecting Branch's copy Copy to be submitted to HRD - IDBI Bank Ltd. Candidate's copy
Executive (On Contract ) Post Advt in November 2010 Executive (On Contract ) Post Advt in November 2010 Executive (On Contract ) Post Advt in November 2010
Unique No. Unique No. Unique No.
(To be entered by SBI) (To be entered by SBI) (To be entered by SBI)
IDBI BANK LTD. IDBI BANK LTD. IDBI BANK LTD.
Name of Banker :STATE Post Applied : Executive (On Name of Banker :STATE BANK Post Applied : Executive (On Name of Banker :STATE BANK OF Post Applied : Executive (On contract)
BANK OF INDIA contract) OF INDIA contract) INDIA
Amount may be deposited in any branch of State Bank of India Amount may be deposited in any branch of State Bank of India Amount may be deposited in any branch of State Bank of India
A/C No. 30624362787 Branch Code : 05345, Cuffe Parade, A/C No. 30624362787 Branch Code : 05345, Cuffe Parade, A/C No. 30624362787 Branch Code : 05345, Cuffe Parade,
Mumbai Mumbai Mumbai
Date of Receipt : Date of Receipt : Date of Receipt :
Candidate's Name : * Candidate's Name : * Candidate's Name : *

Address : Address : Address :

Contact No. Contact No. Contact No.

Category: General/OBC/SC/ST/PWD Category: General/OBC/SC/ST/PWD Category: General/OBC/SC/ST/PWD
Application Fee Rs. Application Fee Rs. Application Fee Rs.
Bank Charges Rs. 50.00 Bank Charges Rs. 50.00 Bank Charges Rs. 50.00
Total Rs. Total Rs. Total Rs.
(in words :) Rupees : (in words :) Rupees : (in words :) Rupees :

# Application Fee for General /OBC category : Rs.400/- & SC/ST/PWD # Application Fee for General /OBC category : Rs.400/- & SC/ST/PWD # Application Fee for General /OBC category : Rs.400/- & SC/ST/PWD
category : Rs.75/- and Collecting Bank's charges Rs.50/- category : Rs.75/- and Collecting Bank's charges Rs.50/- category : Rs.75/- and Collecting Bank's charges Rs.50/-

(@ Non-Home Branch to (@ Non-Home Branch to credit (@ Non-Home Branch to credit

credit Rs.50/- to their Rs.50/- to their commission A/c) Rs.50/- to their commission A/c)
commission A/c)

Signature of Bank's Official Signature of Candidate/Depositor Signature of Bank's Official Signature of Candidate/Depositor Signature of Bank's Official Signature of Candidate/Depositor

* (Name should be indicated in the following manner and it should be entered in the same manner in the On-Line application)

(Surname) (First Name) (Middle name )