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Candidate's Copy
INSTITUTE OF BANKING PERSONNEL SELECTION
IBPS-RRB-CWE - Officers - 1645
CHALLAN FORM

(Please tick the name of the Bank in which fee/intimation charges are proposed to be deposited)
Bank of Baroda/ Bank of India/ Central Bank of India/ Indian Overseas Bank/ Punjab National Bank/ United Bank of India
Candidate Details
Name : VIVEK SANKHLA Registration No : 6000621248
Date of Birth : 14-09-1984 Category : SC
Mobile No : 9461550070 Date of Registration : 24-06-2012
Amount of Application Fees / Intimation Charges : 50.00 Post Applied : Officer Scale-I
To be filled by Bank
Branch Code :
                                                                                                                       
Transaction No. :
                                                                                                                       
Date of Deposit :      .............. / ............... / 2012
Amount of Application Fees / Intimation Charges :
Bank Transaction Charges :
(Bank Transaction charges if any are to be borne by the candidate)

Fee Payment will be accepted only in any of the above six banks from the 2nd working day after Online Registration
(for example : If one has registered on 02.06.2012, then he/she will be able to deposit the fee between 05.06.2012 to 07.06.2012, considering 03.06.2012 is a non-working day)
  Branch Seal & Signature of
Authorised Signatory (within the Box only)
 
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Bank Copy
INSTITUTE OF BANKING PERSONNEL SELECTION
IBPS-RRB-CWE - Officers - 1645
CHALLAN FORM

(Please tick the name of the Bank in which fee/intimation charges are proposed to be deposited)
Bank of Baroda/ Bank of India/ Central Bank of India/ Indian Overseas Bank/ Punjab National Bank/ United Bank of India
Candidate Details
Name : VIVEK SANKHLA Registration No : 6000621248
Date of Birth : 14-09-1984 Category : SC
Mobile No : 9461550070 Date of Registration : 24-06-2012
Amount of Application Fees / Intimation Charges : 50.00 Post Applied : Officer Scale-I
To be filled by Bank
Branch Code :
                                                                                                                       
Transaction No. :
                                                                                                                       
Date of Deposit :      .............. / ............... / 2012
Amount of Application Fees / Intimation Charges :
Bank Transaction Charges :
(Bank Transaction charges if any are to be borne by the candidate)
Signature of the Candidate

  Branch Seal & Signature of the
Authorised Signatory (within the Box only)