CHALLAN FORM- 01 (CASH VOUCHER)

CHALLAN FORM- 01 (CASH VOUCHER)

CANDIDATEs COPY

BRANCH COPY

BIHAR GRAMIN BANK

BIHAR GRAMIN BANK

Application Fee Details

Application Fee Details

Recruitment of Office Assistant (M) / Officer JMGS-I/ MMGS-II /MMGS-III

(Tick whichever is applicable)

Recruitment of Office Assistant (M) / Officer JMGS-I/ MMGS-II /MMGS-III

( Tick whichever is applicable)

Account No.

38010210000356
BIHAR GRAMIN BANK
BEGUSARAI BRANCH

Account No.

38010210000356
BIHAR GRAMIN BANK
BEGUSARAI BRANCH

Candidates Name: Mr./Mrs./Kum:.

Category* SC/ST/PWD/EXSM Rs 20/-

Candidates Name: Mr./Mrs./Kum:.

Category* SC/ST/PWD/ EXSM Rs 20/-

OBC/GEN: Application Fee &

Postage Rs. 100/Date of Birth :
Bank Branch Name:
Branch Code No.#
Transaction No.- .#
Deposit Date:
Application Fee/Postage Rs.
(Rupees..)only

OBC/GEN: Application Fee &

Postage Rs. 100/Date of Birth :
Bank Branch Name:
Branch Code No.#
Transaction No.- #
Deposit Date:
Application Fee/Postage Rs.
(Rupees..)only

Signature of Depositor

Authorized Signatory

Signature of Depositor

Authorized Signatory

Address

Phone/Mobile. No.:

Stamp

Address

Phone/Mobile. No.:

Stamp

* Tick whichever is applicable

* Tick whichever is applicable

# Fee receiving branch is advised to write the Deposit Transaction No and

branch code no. above invariably.

# Fee receiving branch is advised to write the Deposit Transaction No

and branch code no. above invariably.