Challan

Bank Copy

VSP Copy

Candidate's Copy

Date: ___/___/2012 RINL RECRUITMENT A/C NO. 30589461220 RECTT. ADVT. NO.07/2012 APPLICATION FEES FOR THE POST OF MEDICAL / HORTICULTURE PROFESSIONALS SBI Branch Name: Branch Code: Name of Candidate (In Block letters): Date of Birth (DD/MM/YYYY) Fee Amount: Bank Charges `25/(If not deposited in Visakhapatnam Steel Plant Branch, Code no.6318) in Br. Code 6318 - NIL

Date: ___/___/2012 RINL RECRUITMENT A/C NO. 30589461220 RECTT. ADVT. NO.07/2012 APPLICATION FOR THE POST OF MEDICAL / HORTICULTURE PROFESSIONALS SBI Branch Name: Branch Code: Name of Candidate (In Block letters): Date of Birth (DD/MM/YYYY)

Date: ___/___/2012 RINL RECRUITMENT A/C NO. 30589461220 RECTT. ADVT. NO.07/2012 APPLICATION FEES FOR THE POST OF MEDICAL / HORTICULTURE PROFESSIONALS SBI Branch Name: Branch Code: Name of Candidate (In Block letters): Date of Birth (DD/MM/YYYY)

` 300/-

Fee Amount: Bank Charges `25/(If not deposited in Visakhapatnam Steel Plant Branch, Code no.6318) in Br. Code 6318 - NIL

` 300/-

Fee Amount: Bank Charges `25/(If not deposited in Visakhapatnam Steel Plant Branch, Code no.6318) in Br. Code 6318 - NIL

` 300/-

Total amount (By cash only) Total amount in words:

` `____________________ ________________________

` Total amount (By cash only) Total amount in `____________________ words: ________________________ Deposited by___________________________ For Bank use only: Amount Received Signature of the cashier with stamp Journal Number (Compulsory)

Total amount (By cash only) Total amount in words:

` `____________________ ________________________

Deposited by___________________________ For Bank use only: Amount Received ` __________ Signature of the cashier with stamp Journal Number (Compulsory)
Last date of application is 30th July 2012

Deposited by___________________________ For Bank use only: Amount Received Signature of the cashier with stamp Journal Number (Compulsory)

` __________

` __________