(Candidate Copy)

(Bank Copy)

HDFC Bank

HDFC Bank

HTET (2014-2015)

HTET (2014-2015)

Cash can be tendered at any CBS Branch of HDFC Bank

Bank A/C No.:
Apply For:
Registration No.:

Cash can be tendered at any CBS Branch of HDFC Bank

04791450000577
Level 1

Name :

6301539
SUMAN RANI

Date of Birth :
Category :
Home District :
Fee Rs :
Printed on :

11/04/1992
General
Faridabad
700/28-06-2015 10:32:55 PM

Bank A/C No.:

Apply For:
Registration No.:

Fee will not be accepted by the bank after 02/07/2015

04791450000577
Level 1

Name :

6301539
SUMAN RANI

Date of Birth :
Category :
Mobile No. :
Fee Rs :
Printed on :

11/04/1992
General
9990422213
700/28-06-2015 10:32:55 PM

Fee will not be accepted by the bank after 02/07/2015

Signature of the Candidate

(To be filled by the bank)

1000 X ................. = .......................

500 X ................. = .......................
100 X ................. = .......................
50 X ................. = .......................
10 X ................. = .......................

HDFC Bank Branch Name :

Branch Code :

Signature of the Candidate

(To be filled by the bank)

Transaction Id No. :
HDFC Bank Branch Name :

Deposit Date :
_________/_________/2015

Branch Code :
Transaction Id No. :

Authorized Signatory

Deposit Date :
_________/_________/2015

Authorized Signatory
Branch Stamp
Candidate should login to the website again and go again to Step-4 and make entries of remittance of
fee.

Branch Stamp
Bank official is requested to enter Registration No. and Name of candidate only in narrative column.