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Branch Copy

Company Copy

Applicant Copy

State Bank of India


Rashtriya Chemicals & Fertilizers Ltd.
APPLICATION FEE PAYMENT CHALLAN Date:-_______________ Account No.32376431341 Rashtriya Chemicals & Fertilizers Limited Fee A/C at Mahul Road Branch, Chembur, Br.Code: 0564. Name of the Applicant:_____________________ Post Applied for_____________________ Discipline:_________________ E-mail Id:________________________________ Phone No.(Mobile)____________________ Fee details Particulars Amount (Rs.) Application Fee (Gen/OBC) Plus Bank Charges Rs.50.00

State Bank of India


Rashtriya Chemicals & Fertilizers Ltd.
APPLICATION FEE PAYMENT CHALLAN Date:-_______________ Account No. 32376431341 Rashtriya Chemicals & Fertilizers Limited Fee A/C at Mahul Road Branch, Chembur, Br.Code: 0564. Name of the Applicant:_____________________ Post Applied for_____________________ Discipline:_________________ E-mail Id:________________________________ Phone No.(Mobile)____________________ Fee details Particulars Amount (Rs.) Application Fee (Gen/OBC) Plus Bank Charges Rs.50.00

State Bank of India


Rashtriya Chemicals & Fertilizers Ltd.
APPLICATION FEE PAYMENT CHALLAN Date:-_______________ Account No. 32376431341 Rashtriya Chemicals & Fertilizers Limited Fee A/C at Mahul Road Branch, Chembur, Br.Code: 0564. Name of the Applicant:_____________________ Post Applied for_____________________ Discipline:_________________ E-mail Id:________________________________ Phone No.(Mobile)____________________ Fee details Particulars Amount (Rs.) Application Fee (Gen/OBC) Plus Bank Charges Rs.50.00

Signature of the Applicant

Signature of the Applicant

Signature of the Applicant

(To be filled by Bank)

(To be filled by Bank)

(To be filled by Bank)

Branch Stamp SBI Branch Name :_________________ Deposit Date

Branch Stamp SBI Branch Name :_________________ Deposit Date SBI Branch Name :_________________

Branch Stamp

Deposit Date

Branch Code

Branch Code

Branch Code

Journal No. Authorized Signatory

Journal No. Authorized Signatory

Journal No. Authorized Signatory

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