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STATE BANK OF MYSORE

BRANCH POST APPLIED FOR.POST CODE

STATE BANK OF MYSORE


BRANCH POST APPLIED FOR.POST CODE

APPLICATION FORM (ORIGINAL - BANK COPY)


(To be filled in by the Applicant in Block Letters-strike off whichever is inapplicable)

APPLICATION FORM (DUPLICATE/APPLICANTS COPY) Date. Details of Applicant (Remitter) Name .. Date of birth Category: SC/ST/PWD - ONLY POSTAGES-RS.75/OBC/GEN - Application fee & postages Rs.350/-. Details of Beneficiary 1. Centre 2. Bank/ Branch 3. Name (Beneficiary) 4. Current A/c No. : : : : :

(To be filled in by the Applicant in Block Letters-strike off whichever is inapplicable)

Date.

Details of Applicant (Remitter) Name .. Date of birth: Category: SC/ST/PWD- ONLY POSTAGES-RS.75/OBC/GEN - Application fee & postages Rs.350/-. Details of Beneficiary 1. Centre 2. Bank/ Branch 3. Name (Beneficiary) 4. Current A/c No.

Mobile No.

Mobile No.

: : : :

MYSORE STATE BANK OF MYSORE, MYSORE MAIN. CAUVERY KALPATHARU GRAMEENA BANK 64078379003

MYSORE STATE BANK OF MYSORE, MYSORE MAIN. CAUVERY KALPATHARU GRAMEENA BANK 64078379003

Amount to be remitted Rs (Rupees.......................) Remit the amount as per details enumerated above. PAYMENT PARTICULARS-CASH
Rs. AMOUNT SERVICE CHARGES TOTAL Ps.

Amount to be remitted Rs(Rupees.......................) Remit the amount as per details enumerated above. PAYMENT PARTICULARS-CASH
Rs. AMOUNT SERVICE CHARGES TOTAL Ps.

Affix passport size photograph here

Applicants Signature
FOR BANKS USE ONLY

Applicants Signature DATE..


FOR BANKS USE ONLY

DATE..

(Rupees.)

(Rupees.)

Cash Received

Cash Received

Remittance/ Trace No. Journal No.. (7 -10 Digit no.)

Authorised Signatory Seal and Signature

Remittance/Trace No. Journal No.. (7 -10 Digit no.)

Authorised Signatory Seal and Signature

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