This document appears to be a fee challan form for applicants to senior posts with MSEDCL. The multi-page form contains fields for applicants to provide their name, mobile number, candidate category, and amount of fees. It also includes instructions for depositing the fees at branches of Bank of Maharashtra by a specified deadline and obtaining a transaction ID. The form is to be filled out in triplicate, with copies distributed to the bank, candidate, and MSEDCL.
This document appears to be a fee challan form for applicants to senior posts with MSEDCL. The multi-page form contains fields for applicants to provide their name, mobile number, candidate category, and amount of fees. It also includes instructions for depositing the fees at branches of Bank of Maharashtra by a specified deadline and obtaining a transaction ID. The form is to be filled out in triplicate, with copies distributed to the bank, candidate, and MSEDCL.
This document appears to be a fee challan form for applicants to senior posts with MSEDCL. The multi-page form contains fields for applicants to provide their name, mobile number, candidate category, and amount of fees. It also includes instructions for depositing the fees at branches of Bank of Maharashtra by a specified deadline and obtaining a transaction ID. The form is to be filled out in triplicate, with copies distributed to the bank, candidate, and MSEDCL.
Applicants Name*: (To be filled in capital letters) Applicants Name*: (To be filled in capital letters) Applicants Name*: (To
be filled in capital letters)
_____________________________________________ __________________________________________ _____________________________________________ (Surname) (Name) (Middle Name) (Surname) (Name) (Middle Name) (Surname) (Name) (Middle Name) Mobile No: Mobile No: Mobile No: Fees (in Rs) Fees (in Rs) Fees (in Rs) MSEDCL FEE CHALLAN FOR APPLICATION TO THE SENIOR POSTS VIDE ADVT.10/2012 [Post Code - ] Bank of Maharashtra Candidate applying against the category -.....| .. ...| .....-.. . .. +...... .- .. ( ) -.| .. +..| Branch Name: Bank of Maharashtra'- Account No. 20045003931 MSEDCL FEE CHALLAN FOR APPLICATION TO THE SENIOR POSTS VIDE ADVT.10/2012 [Post Code - ] Bank of Maharashtra Candidate applying against the category -.....| .. ...| .....-.. . .. +...... .- ( ) -.| .. +..| Bank of Maharashtra'- Account No. 20045003931 Amount may be deposited in any branch of Branch Name: MSEDCL FEE CHALLAN FOR APPLICATION TO THE SENIOR POSTS VIDE ADVT.10/2012 [Post Code - ] Bank of Maharashtra Amount may be deposited in any branch of Bank of Maharashtra'- Account No. 20045003931 Branch Name: Amount may be deposited in any branch of Candidate applying against the category -.....| .. ...| .....-.. . .. +...... .- ( ) -.| .. +..|
SC SC SC ST ST ST VJ(A) } coming VJ(A) } coming VJ(A) } coming NT-B } under the NT-B } under the NT-B } under the NT-C } concept of NT-C } concept of NT-C } concept of NT-D } Non-creamy NT-D } Non-creamy NT-D } Non-creamy SBC } Layer SBC } Layer SBC } Layer OBC } OBC } OBC } OPEN OPEN OPEN Persons with Disability & Ex-Serviceman: Not Applicable Persons with Disability & Ex-Serviceman: Not Applicable Persons with Disability & Ex-Serviceman: Not Applicable Total Total Total In Words (Rupees ) In Words (Rupees ) In Words (Rupees ) Date: Signature of Candidate Date: Signature of Candidate Date: Signature of Candidate Transaction ID/ Journal No. ______________________ Transaction ID/ Journal No. __________________ Transaction ID/ Journal No. ________________ Branch Name : _________________________________ Branch Name : ____________________________ Branch Name : ___________________________ ( ) -.| .. +..| ( ) -.| .. +..| [To be filled in by the Bank Branch Office] Last Date of Acceptance of Deposit: 15.12.2012 Last Date of Acceptance of Deposit: 15.12.2012 [To be filled in by the Bank Branch Office] Last Date of Acceptance of Deposit: 15.12.2012 [To be filled in by the Bank Branch Office] TO BE ACCEPTED THROUGH MSEDCL FEE MODULE ONLY TO BE ACCEPTED THROUGH MSEDCL FEE MODULE ONLY TO BE ACCEPTED THROUGH MSEDCL FEE MODULE ONLY ( ) -.| .. +..| Branch Name : _________________________________ Branch Name : ____________________________ Branch Name : ___________________________ Branch Code: __________________________________ Branch Code: _____________________________ Branch Code: ____________________________ Date of Receipt of Fee: _________________________ Date of Receipt of Fee: ____________________ Date of Receipt of Fee: ___________________ Signature of Bank Official & Seal Signature of Bank Official & Seal Signature of Bank Official & Seal
[Bankers Copy] [CANDIDATE COPY] [MSEDCL Copy - TO BE ATTACHED ALONG WITH APPLICATION]