07/03/2016 HUMAN RESOURCE DEPARTMENT

BANK'S COPY APPLICANT'S COPY TANGEDCO'S COPY

TANGEDCO  TANGEDCO  TANGEDCO 

Departmental Test Application Fee Departmental Test Application Fee Departmental Test Application Fee
Payment Payment Payment

Bank Bank Bank

TANGEDCO­EXAMFEE TANGEDCO­EXAMFEE TANGEDCO­EXAMFEE
Account: Account: Account:
Application Application Application
HT16A0527 HT16A0527 HT16A0527
No: No: No:
Name: K THIRUMURUGAN Name: K THIRUMURUGAN Name: K THIRUMURUGAN
Date of Date of Date of
22­MAY­88 22­MAY­88 22­MAY­88
Birth: Birth: Birth:
e­mail Id: thiruacp@gmail.com e­mail Id: thiruacp@gmail.com e­mail Id: thiruacp@gmail.com
Mobile No: 9003674674 Mobile No: 9003674674 Mobile No: 9003674674
Exam Fee: 100 Exam Fee: 100 Exam Fee: 100
**Banking **Banking **Banking
12 12 12
Charges: Charges: Charges:
112 112 112
Total: Rupees one hundred and Total: Rupees one hundred and Total: Rupees one hundred
twelve Only twelve Only and twelve Only

Signature of the Applicant Signature of the Applicant Signature of the Applicant

Bank Reference Bank Reference Bank Reference
Number Number Number
TANGEDCO Ack TANGEDCO Ack TANGEDCO Ack
Number Number Number
______Branch(CODE No:_____ ) ______Branch(CODE No:_____ ) ______Branch(CODE No:_____ )

Authorised Authorised Authorised

SEAL/DATE Signature
Important Instructions to Bank
Branches
1. Branches should not refuse to accept the
challan.**Inclusive of Service tax
2.Please note to put the Bank Reference No,
TANGEDCO Acknowledgement No, Bank seal &
Authorised Signatory in all the challans.
Important Instructions to Applicants
1.Applicants (21579) are advised to retain
TANGEDCO's copy and should be produced on
demand later.
SEAL/DATE Signatory
Important Instructions to Bank
Branches
1. Branches should not refuse to accept the
challan.**Inclusive of Service tax
2.Please note to put the Bank Reference No,
TANGEDCO Acknowledgement No, Bank seal &
Authorised Signatory in all the challans.
Important Instructions to Applicants
1.Applicants (21579) are advised to retain
TANGEDCO's copy and should be produced on
demand later.
SEAL/DATE Signatory
Important Instructions to Bank
Branches
1. Branches should not refuse to accept the
challan.**Inclusive of Service tax.
2.Please note to put the Bank Reference No,
TANGEDCO Acknowledgement No, Bank seal
& Authorised Signatory in all the challans.
Important Instructions to
Applicants
1.Applicants (21579) are advised to retain
TANGEDCO's copy and should be produced
on demand later.

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