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Challan Form

This document is a challan form for paying an application fee to the UCO Bank/Jaipur Thar Gramin Bank. It contains fields for the candidate's name, account and photograph details, the position applied for, category and amount paid, as well as signatures from the depositor and authorized bank signatory. The branch is advised to write the deposit journal number and branch code number on the form.

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Prakhar Sharma
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98 views

Challan Form

This document is a challan form for paying an application fee to the UCO Bank/Jaipur Thar Gramin Bank. It contains fields for the candidate's name, account and photograph details, the position applied for, category and amount paid, as well as signatures from the depositor and authorized bank signatory. The branch is advised to write the deposit journal number and branch code number on the form.

Uploaded by

Prakhar Sharma
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHALLAN FORM (CASH VOUCHER) CHALLAN FORM (CASH VOUCHER) CHALLAN FORM (CASH VOUCHER) UCO BANK BRANCH

COPY BRANCH COPY CANDIDATES COPY UCO / JAIPUR THAR GRAMIN BANK UCO / JAIPUR THAR GRAMIN BANK UCO / JAIPUR THAR GRAMIN BANK Application Fee Details Application Fee Details Application Fee Details Recruitment of Office Assistant/ Officer Scale-I / Officer ScaleRecruitment of Office Assistant/ Officer Scale-I / Officer ScaleRecruitment of Office Assistant/ Officer Scale-I / II / Officer Scale-III (TICK APPROPRIATE) II / Officer Scale-III (TICK APPROPRIATE) Officer Scale-II / Officer Scale-III (TICK APPROPRIATE) Place for in JAIPUR THAR GRAMIN BANK in JAIPUR THAR GRAMIN BANK in JAIPUR THAR GRAMIN BANK Candidates Account No : 13850210001073 WITH UCO BANK Account No : 13850210001073 WITH UCO BANK Account No : 13850210001073 WITH UCO BANK Photograph 20050210000277 WITH JTGB 20050210000277 WITH JTGB 20050210000277 WITH JTGB at ____________________ at ____________________ at ____________________ Candidates Name : Mr./Mrs/Kum. Candidates Name : Mr./Mrs/Kum. Candidates Name : Mr./Mrs/Kum. Category* SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs. 500/: Banks Branch Name : : : Category* SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs. 500/: Banks Branch Name : : : Journal No # (7 to 10 digits) Deposit Date Deposit Date : Deposit Date : Application Fee/Postage Rs........................ (Rupees..........................................................................................only) : : Category* SC/ST/PC/EXS Only Postage Rs 100/OBC/GEN - Application Fee & Postage Rs. 500/-

Date of Birth

Date of Birth

Date of Birth : Banks Branch Name : Branch Code No# :

Branch Code No# Journal No # (7 to 10 digits)

Branch Code No# Journal No # (7 to 10 digits)

Application Fee/Postage Rs........................ (Rupees...................................................................................... ....only)

Application Fee/Postage Rs........................ (Rupees...................................................................................... ....only)

Signature of Depositor Address:.................... ................................... Phone/Mobi. No.

Authorized Signatory Stamp

Signature of Depositor Address:.................... ................................... Phone/Mobi. No.

Authorized Signatory Stamp

* Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.

* Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. above invariably.

Signature of Depositor Authorized Signatory Address:.................... Stamp ................................... Phone/Mobi. No. * Tick whichever is applicable. # Fee receiving branch is advised to write the Deposit Journal No. and branch code no. 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.)

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