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BRANCH COPY

SECURITIES AND EXCHANGE BOARD OF INDIA


SEBI Recruitment of Officers Exercise 2010
Challan for Depositing Application fees/Postage Charges
(To be filled by candidate)

Candidate’s Name: Mr./Mrs/Kum.__________________________

Post Applied for:

Sl Name of the Post Please Tick


post applied
for
1 Asst. Manager, Officer Grade A – General Stream
2 Officer Grade A-Legal Stream
3 Officer Grade A – Research Stream
4 Asst. Manager, Grade A – Information Systems –
Technical Stream
5 Asst. Manager, Grade A – Engineering (Civil) –
Technical Stream
6 Asst. Manager – Engineering (Electrical) – Technical
Stream
7 Officer Grade A-Official Language Stream

Account Name : “SEBI RECRUITMENT EXERCISE-2010”


Account No : 31423867665

Category* : SC/ST/PWD-Only Postage Rs: 50/-


:GEN/OBC-Application fee & Postage Rs:500/-

*Tick whichever is applicable

Application fee/Postage Rs: ………………………………………….

(Rupees ………………………………………………………………..)

Note: Additional Bank Charges Rs. 50/- (Branches can credit to their respective commission account)

Signature of Depositor Authorized Signatory


Stamp
______________________________________________________________________________________
(To be filled by the Bank)

Fee receiving branch is advised to write the Deposit Journal No. and branch
code no. above invariably.

SBI Branch Name :

Branch Code No :

Journal No :
(7 to 10 digits)

Deposit Date :
Authorized Signatory
Stamp
CANDIDATE’S COPY

SECURITIES AND EXCHANGE BOARD OF INDIA


SEBI Recruitment of Officers Exercise 2010
Challan for Depositing Application fees/Postage Charges
(To be filled by candidate)

Candidate’s Name: Mr./Mrs/Kum.__________________________

Post Applied for:

Sl Name of the Post Please Tick


post applied
for
1 Asst. Manager, Officer Grade A – General Stream
2 Officer Grade A-Legal Stream
3 Officer Grade A – Research Stream
4 Asst. Manager, Grade A – Information Systems –
Technical Stream
5 Asst. Manager, Grade A – Engineering (Civil) –
Technical Stream
6 Asst. Manager – Engineering (Electrical) – Technical
Stream
7 Officer Grade A-Official Language Stream
Account Name : “SEBI RECRUITMENT EXERCISE-2010”

Account No : 31423867665

Category* : SC/ST/PWD-Only Postage Rs: 50/-


:GEN/OBC-Application fee & Postage Rs:500/-

*Tick whichever is applicable

Application fee/Postage Rs: ………………………………………….

(Rupees ………………………………………………………………..)

Note: Additional Bank Charges Rs. 50/- (Branches can credit to their respective commission account)

Signature of Depositor Authorized Signatory


Stamp
______________________________________________________________________________________
(To be filled by the Bank)

Fee receiving branch is advised to write the Deposit Journal No. and branch
code no. above invariably.

SBI Branch Name :

Branch Code No :

Journal No :
(7 to 10 digits)

Deposit Date :
Authorized Signatory
Stamp
SEBI COPY

SECURITIES AND EXCHANGE BOARD OF INDIA


SEBI Recruitment of Officers Exercise 2010
Challan for Depositing Application fees/Postage Charges
(To be filled by candidate)

Candidate’s Name: Mr./Mrs/Kum.__________________________

Post Applied for:

Sl Name of the Post Please Tick


post applied
for
1 Asst. Manager, Officer Grade A – General Stream
2 Officer Grade A-Legal Stream
3 Officer Grade A – Research Stream
4 Asst. Manager, Grade A – Information Systems –
Technical Stream
5 Asst. Manager, Grade A – Engineering (Civil) –
Technical Stream
6 Asst. Manager – Engineering (Electrical) – Technical
Stream
7 Officer Grade A-Official Language Stream
Account Name : “SEBI RECRUITMENT EXERCISE-2010”

Account No : 31423867665

Category* : SC/ST/PWD-Only Postage Rs: 50/-


:GEN/OBC-Application fee & Postage Rs:500/-

*Tick whichever is applicable

Application fee/Postage Rs: ………………………………………….

(Rupees ………………………………………………………………..)

Note: Additional Bank Charges Rs. 50/-(Branches can credit to their respective commission account)

Signature of Depositor Authorized Signatory


Stamp
______________________________________________________________________________________
(To be filled by the Bank)

Fee receiving branch is advised to write the Deposit Journal No. and branch
code no. above invariably.

SBI Branch Name :

Branch Code No :

Journal No :
(7 to 10 digits)

Deposit Date :
Authorized Signatory
Stamp

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