PAY IN SLIP BANK's COPY PAY IN SLIP HIGH COURT's PAY IN SLIP CANDIDATE's

COPY COPY

PAYABLE AT ALL BRANCHES OF INDIAN BANK, Paid

to the Credit of High Court, Madras - Recruitment for PAYABLE AT ALL BRANCHES OF INDIAN BANK, Paid PAYABLE AT ALL BRANCHES OF INDIAN BANK, Paid
the post of Office Assistant, Tiruvannamalai District. to the Credit of High Court, Madras - Recruitment for to the Credit of High Court, Madras - Recruitment for
the post of Office Assistant, Tiruvannamalai District. the post of Office Assistant, Tiruvannamalai District.
MUP REF NO :MU0110179462
USE CBS SCREEN NO :1009 MUP REF NO :MU0110179462 MUP REF NO :MU0110179462
LAST DATE PAYMENT:29/05/2024 USE CBS SCREEN NO :1009 USE CBS SCREEN NO :1009
LAST DATE PAYMENT:29/05/2024 LAST DATE PAYMENT:29/05/2024
Candidate Name E JAGAN
Candidate Name E JAGAN Candidate Name E JAGAN
Application No 2024137101975
Application No 2024137101975 Application No 2024137101975
Application Fees 500
Application Fees 500 Application Fees 500
Banking Charges 10
Banking Charges 10 Banking Charges 10
Total Fees 510
Total Fees 510 Total Fees 510
Amount in Words (Rupees) Five Hundred Ten Only
Amount in Words (Rupees) Five Hundred Ten Only Amount in Words (Rupees) Five Hundred Ten Only
Name of the Receiving
Branch Name of the Receiving Name of the Receiving
Branch Branch

Signature of the Candidate

Signature of the Candidate Signature of the Candidate
For Bank Use Only
For Bank Use Only For Bank Use Only
USE CBS SCREEN NO :1009
USE CBS SCREEN NO :1009 USE CBS SCREEN NO :1009
MUP MU0110179462 Branch
Ref No Code MUP MU0110179462 Branch MUP MU0110179462 Branch
Ref No Code Ref No Code
Journal Signature
No of the Journal Signature Journal Signature
Cashier No of the No of the
Cashier Cashier
Branch Date
Name Branch Date Branch Date
Name Name