Branch Copy Company Copy Applicant Copy

State Bank of India BEL State Bank of India BEL State Bank of India BEL

BHARAT ELECTRONICS LIMITED BHARAT ELECTRONICS LIMITED BHARAT ELECTRONICS LIMITED

APPLICATION FEE PAYMENT CHALLAN APPLICATION FEE PAYMENT CHALLAN APPLICATION FEE PAYMENT CHALLAN
Date: ………... Date: ………... Date: ………...

Account No: 32205292539 Bharat Electronics Account No: 32205292539 Bharat Electronics Account No: 32205292539 Bharat Electronics
Limited – Fee A/c at Specialised MID Corporate Limited – Fee A/c at Specialised MID Corporate Limited – Fee A/c at Specialised MID Corporate
Branch, Kumara Park Branch, Bangalore – 560020, Branch, Kumara Park Branch, Bangalore – 560020, Branch, Kumara Park Branch, Bangalore – 560020,
Br.Code: 14125. Br.Code: 14125. Br.Code: 14125.

Name of the Applicant: ………………………………… Name of the Applicant: ………………………………… Name of the Applicant: …………………………………

DOB [DD/MM/YY]………………………………………. DOB [DD/MM/YY]………………………………………. DOB [DD/MM/YY]……………………………………….

Post Applied for / Discipline …………………………… Post Applied for / Discipline …………………………… Post Applied for / Discipline ……………………………

E-mail id: …………………………………………... E-mail id: …………………………………………... E-mail id: …………………………………………...

Phone No.[Mobile] +91………………………….. Phone No.[Mobile] +91………………………….. Phone No.[Mobile] +91…………………………..

Fee details: Fee details:
Fee details:
Particulars Amount(Rs) Particulars Amount(Rs)
Particulars Amount(Rs)
Non Refundable Application Fee Non Refundable Application Fee
Non Refundable Application Fee 300.00 300.00
300.00 (for General/OBC candidates only) (for General/OBC candidates only)
(for General/OBC candidates only)
Plus Bank charges of Rs.40/- extra Plus Bank charges of Rs.40/- extra
Plus Bank charges of Rs.40/- extra

Signature of the Applicant Signature of the Applicant

Signature of the Applicant

[To be Filled by Bank] [To be Filled by Bank] [To be Filled by Bank]

Branch Stamp Branch Stamp Branch Stamp

SBI Branch Name…………………. SBI Branch Name…………………. SBI Branch Name………………….

Branch Code Deposit Date Branch Code Deposit Date Branch Code Deposit Date

Journal No. Journal No. Journal No.

Authorised Signatory Authorised Signatory Authorised Signatory