SBI Challan Form
SBI Challan Form
(to be produced at The time of Written Test) (to be produced at The time of Interview)
A/c No : 31530306116, 31530759430, 31530759655 A/c No : 31530306116, 31530759430, 31530759655 A/c No : 31530306116, 31530759430, 31530759655
Name in Full : Name in Full :
Name in Full : (In CAPITALS) (In CAPITALS)
(In CAPITALS)
Date of 1 9 Date of 1 9
Date of 1 9 Birth Birth
Birth Category* : SC / ST / Physically Challenged / Category* : SC / ST / Physically Challenged /
Category* : SC / ST / Physically Challenged / Ex-Servicemen / Dependants Ex-Servicemen / Dependants
Ex-Servicemen / Dependants of Servicemen killed in action of Servicemen killed in action
of Servicemen killed in action Affix Affix
Fees Rs.80/- Passport Fees Rs.80/- Passport
Fees Rs.80/- Photo Photo
Category* : OBC/GEN Category* : OBC/GEN
Category* : OBC/GEN
Application Fee & Postage Rs. 280/- Application Fee & Application Fee &
Postage Rs. 280/- Postage Rs. 280/-
Branch Name where fee paid :
Branch Name where fee paid : Branch Name where fee paid :
Branch Code
Branch Code Branch Code
Journal No : ………………………….
Deposit Date : …………… Fee Paid : Rs………./-.
Journal No : …………………………. Journal No : ………………………….
(Rupees ………………………………………only)
Deposit Date : …………… Fee Paid : Rs………./-. Deposit Date : …………… Fee Paid : Rs………./-.
(Rupees …………………………………………..only) (Rupees …………………………………………..only)
__________________
__________________ __________________
(Applicant’s Signature)
(Applicant’s Signature) (Applicant’s Signature)
Address :…………………… Authorised Signatory
Address :……………………….. Authorised Signatory Address :……………………….. Authorised Signatory
…………………………………. SS No :
………………………………… Branch Seal …………………………………. SS No : …………………………………. SS No :
………………………………… ………………………………… Branch Seal ………………………………… Branch Seal
………………………………… …………………………………
Mobile/ Phone No:
Mobile/ Phone No: Mobile/ Phone No:
Tick (√) whichever is applicable.
Tick (√) whichever is applicable. Tick (√) whichever is applicable.
#Fee receiving branch is advised to write
clearly &legibly the Journal/ Scroll No and #Fee receiving branch is advised to write clearly #Fee receiving branch is advised to write clearly
&legibly the Journal/ Scroll No and Branch Code No &legibly the Journal/ Scroll No and Branch Code No
Branch Code No invariably.
invariably. invariably.
(This challan will be required to be submitted by the candidates at (This challan will be required to be submitted by the candidates at
the time of written test otherwise the candidate will not be allowed the time of written test otherwise the candidate will not be allowed
to appear for the examination) to appear for the examination)