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Welcome to LIC - Application Form Print

Candidate's Copy STATE BANK OF INDIA Application Fee Challan Life Insurance Corporation of India Recruitment of Apprentice Development Officers 2012-13 Candidate Details Name Registration No Date of Birth Category Centre Name Mobile No. : ANURAG PAREEK : 1302356 : 05-08-1988 : GENERAL : JAIPUR : 7737820801 Branch Code Journal No

Date of Deposit

: ....... / ....... /.....

Fee Payment will be accepted from 2nd working day after Registration.

Amount (in figures) Amount (in words) Rupees Only

: 500.00 : Five Hundred

Branch Seal (within the Box only)

(Signature of the Candidate) (Authorised Signatory) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Bank's Copy STATE BANK OF INDIA Application Fee Challan Life Insurance Corporation of India Recruitment of Apprentice Development Officers 2012-13 Instruction for Branch Please go through Screen No. 8888 & Enter the following: Fee Collection Type Registration No Date of Birth Account No. : : : : 0 0 0 0 8 9 1302356 05-08-1988 32645756284 Branch Code Journal No

Date of Deposit

: ....... / ....... /....

Fee Payment will be accepted from 2nd working day after Registration.

Amount (in figures) Amount (in words) Rupees Only

: 500.00 : Five Hundred Branch Seal (within the Box only)

(Signature of the Candidate) Name of the Candidate Mobile No. : ANURAG PAREEK : 7737820801 (Authorised Signatory)

ibpsreg.sifyitest.com/licadonov12/challan1.php?regno=MTMwMjM1Ng==&prnsrc=prn&op=3

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