Challan Form
Challan Form
Challan Form
-I BRANCH COPY
Application Fee For Recruitment of Officer signed Scale I, II, III & Office Asstt. in PUNJAB GRAMIN BANK Photo
Self
Account No. : 85012100058408 (B.O. Kapurthala) Branch Name . Candidates Name : Mr./Mrs./Kum.
Category* : :SC/ST/PWD/EXS- postage+ISO Ch- 100/- (for post code 01,02,03,04) OBC/GEN Appl. Fee, Postage & ISO Ch. - 500/- (for post code 01,02,03,04 )
Date of Birth : Banks Branch Name: Branch Code No.#: (Sol I.D.) Transaction I.D.No. #: (4-10 Digits) Deposit Date :
Post Applied for (Please Tick in appropriate Box) Officer Scale-III Officer Scale-II Officer Scale-I Office Assistant
Date of Birth : Banks Branch Name: Branch Code No.#: (Sol I.D.) Transaction I.D.No. #: (4-10 Digits) Deposit Date
Officer Scale-II
:
Officer Scale-I Office Assistant
Application Fee/Postage/ISO Charges ` (Rupees in words.only) Signature of Depositor Address :. Phone/Mob.No Authorized Signatory Stamp
*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction I.D. No. and Branch Code no.(Sol I.D.) above invariably.
*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction I.D. No. and Branch Code no.(Sol I.D.) above invariably.
This part of the Challan will be required to be submitted by the candidate at the time of written test along with a photograph, otherwise the candidate will not be allowed to appear at the examination
BRANCH COPY
A/cNo. : 0258002100039666 ( B.O.Jalandhar Rd, Kapurthala) Branch Name . Candidates Name : Mr./Mrs./Kum.
Category* SC/ST/PWD/EXS- postage+ISO Ch- 100/- (for post code 01,02,03,04) OBC/GEN Appl. Fee, Postage & ISO Ch. 500/- (for post code 01,02,03,04 )
Date of Birth : Banks Branch Name: Branch Code No.#: (Sol I.D.) Transaction I.D.No. #: (4-10 Digits) Deposit Date
Officer Scale-II
Date of Birth : Banks Branch Name: Branch Code No.#: (Sol I.D.) Transaction I.D.No. #: (4-10 Digits) Deposit Date
Officer Scale-II
:
Officer Scale-I Office Assistant
:
Officer Scale-I Office Assistant
Application Fee/Postage/ISO Charges. (Rupees in words.only) Signature of Depositor Authorized Signatory Address :. Stamp Phone/Mob.No *Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction I.D. No. and Branch Code no.(Sol I.D.) above invariably.
This part of the Challan will be required to be submitted by the candidate at the time of written test along with a photograph, otherwise the candidate will not be allowed to appear at the examination
*Tick whichever is applicable. # Fee receiving branch is advised to write the Transaction I.D. No. and Branch Code no.(Sol I.D.) above invariably.