Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Candidate's Cop

INSTITUTE OF BANKING PERSONNEL SELECTION IBPS (CWE-PO/MT-II - 2012 - 1459) CHALLAN FORM (Plea e ick he name of he Bank in hich fee/in ima ion cha ge a e p opo ed o be depo i ed) Bank of Ba oda/ Bank of India/ Indian O e ea Bank/ Cen al Bank of India/ P njab Na ional Bank/ Uni ed Bank of India Candidate Details Name Da e of Bi h Mobile No Amo n of Applica ion Fee / In ima ion Cha ge : SHREYAS PADHYE : 26-11-1987 : 9993158100 : 450.00 To be filled b Bank B anch Code : T an ac ion No. : Da e of Depo i : .............. / ............... / 2012 : : Regi a ion No Ca ego Da e of Regi a ion : 5000631481 : GEN : 22-03-2012

Amo n of Applica ion Fee / In ima ion Cha ge Bank T an ac ion Cha ge (Bank T an ac ion cha ge if an a e o be bo ne b he candida e)

Fee Pa ment ill be accepted onl in an of the abo e si banks from the 2nd orking da after Online Registration (fo e ample : If one ha egi e ed on 10.03.2012, hen he/ he ill be able o depo i he fee be een 13.03.2012 o 15.03.2012, con ide ing 11.03.2012 i a non- o king da )

B anch Seal & Signa e of A ho i ed Signa o ( i hin he Bo onl )

----------------------------------------------------------------------------------------------------------------------------------------------------Bank Cop

INSTITUTE OF BANKING PERSONNEL SELECTION IBPS (CWE-PO/MT-II - 2012 - 1459) CHALLAN FORM (Plea e ick he name of he Bank in hich fee/in ima ion cha ge a e p opo ed o be depo i ed) Bank of Ba oda/ Bank of India/ Indian O e ea Bank/ Cen al Bank of India/ P njab Na ional Bank/ Uni ed Bank of India Candidate Details Name Da e of Bi h Mobile No Amo n of Applica ion Fee / In ima ion Cha ge : SHREYAS PADHYE : 26-11-1987 : 9993158100 : 450.00 To be filled b Bank Regi a ion No Ca ego Da e of Regi a ion : 5000631481 : GEN : 22-03-2012

To be filled b Bank B anch Code : T an ac ion No. : Da e of Depo i : .............. / ............... / 2012 : :

Amo n of Applica ion Fee / In ima ion Cha ge Bank T an ac ion Cha ge (Bank T an ac ion cha ge if an a e o be bo ne b he candida e) Candida e' Signa e

B anch Seal & Signa e of he A ho i ed Signa o ( i hin he Bo onl )

You might also like