Uco Bank Fee-Challan

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UCO BANK

UCO BANK
Recruitment of Clerks- 2012
Challan For Depositing Application Fee
(including Postage/intimation charges)(Non Refundable)
To be filled in by candidate

Recruitment of Clerks- 2012


Challan For Depositing Application Fee
(including Postage/intimation charges)(Non Refundable)
To be filled in by candidate

Candidates Name
Shri/Smt./Kum.

Candidates Name
Shri/Smt./Kum.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------City:__________________________________
State: ________________________________
PIN:

Address of the candidate


with Pin Code

Telephone No./Mobile No.


e-mail id

Telephone No./Mobile No.


e-mail id

LANDLINE

Category *
*Tick whichever is applicable

Address of the candidate


with Pin Code

SC/ST/PWD/EX-SM
` 20/-

Account No.

SC/ST/PWD/EX-SM
` 20/-

Account No.

UCO Bank Clerical Recruitment Project- 2012

UCO Bank
Branch Name
Branch Code

UCO Bank
Branch Name
Branch Code

Transaction ID
(Alphanumeric of 3 to 9 characters)

Transaction ID
(Alphanumeric of 3 to 9 characters)

Date of Deposit
Application Fee

`
(`................ only)

Signature of the Candidate


Date:

Place:

GEN/OBC
` 100/-

To be filled in by Cash Receiving Branch


Account Name

UCO Bank Clerical Recruitment Project- 2012

LANDLINE

Category *
*Tick whichever is applicable

GEN/OBC
` 100/-

To be filled in by Cash Receiving Branch


Account Name

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------City:__________________________________
State: ________________________________
PIN:

Authorized Signatory of the Bank


with Cash Receiving stamp

Date of Deposit
Application Fee

`
(`................ only)

Signature of the Candidate

Authorized Signatory of the Bank


with Cash Receiving stamp

Date:
Place:
Original Fee Payment Challan is to be produced at the time of Interview

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