Pay in Slip
Pay in Slip
Pay in Slip
Rs.
Rs.
Application No.:
Application No.:
. Name and . address of . the candidate . . Pin Application Processing fee: Tick as applicable General Category SC/ST (a) Rs. 200/- (a) Rs. 100/- (b) Bank charges if (b) Bank charges if any any
Signature of the Depositor Signature of the Cashier Bank Stamp with date
. Name and . address of . the candidate . . Pin Application Processing fee: Tick as applicable General Category SC/ST (a) Rs. 200/- (a) Rs. 100/- (b) Bank charges if (b) Bank charges if any any
Signature of the Depositor Signature of the Cashier Bank Stamp with date
. . . . . Pin
Application Processing fee: Tick as applicable General Category SC/ST (a) Rs. 200/- (a) Rs. 100/- (b) Bank charges if (b) Bank charges if any any
Signature of the Depositor Signature of the Cashier Bank Stamp with date