(BHEL copy)

(Branch copy)

STATE BANK OF INDIA

STATE BANK OF INDIA

STATE BANK OF INDIA

Challan for remittance of application fee

Bharat Heavy Electricals Limited, Tiruchi - 14
(Advt.No.294 / 2012)

Challan for remittance of application fee

Bharat Heavy Electricals Limited, Tiruchi - 14
(Advt.No.294 / 2012)

Challan for remittance of application fee

Bharat Heavy Electricals Limited, Tiruchi - 14
(Advt.No.294 / 2012)

Power Jyoti Account No. 30796267034

at SBI HE Kailasapuram (Code 01363)

Power Jyoti Account No. 30796267034

at SBI HE Kailasapuram (Code 01363)

Power Jyoti Account No. 30796267034

at SBI HE Kailasapuram (Code 01363)

Applicants Name (to be filled by the applicant)

Applicants Name (to be filled by the applicant)

Applicants Name (to be filled by the applicant)

Ms..........

Ms..........

Ms..........

Date of Birth:......................................................

Date of Birth:......................................................

Date of Birth:......................................................

Father Name:.....................................................

Father Name:.....................................................

Father Name:.....................................................

(Applicants copy)

To be filled by Branch

To be filled by Branch

To be filled by Branch

Branch Name :

Branch Name :

Branch Name :

Branch Code:

Branch Code:

Branch Code:

Journal No:

Journal No:

Journal No:

Date of Deposit:

Date of Deposit:

Date of Deposit:

Application Fee
Bank charges
Total
(Rs.One hundred

Signature of the
Remitter

: Rs.125/: Rs.20/: Rs.145/forty five only)

Signature of the authorised

Official with branch seal

Application Fee
Bank charges
Total
(Rs.One hundred

Signature of the
Remitter

: Rs.125/: Rs.20/: Rs.145/forty five only)

Signature of the authorised

Official with branch seal

Application Fee
Bank charges
Total
(Rs.One hundred

Signature of the
Remitter

: Rs.125/: Rs.20/: Rs.145/forty five only)

Signature of the authorised

Official with branch seal

For the fee receiving branch of SBI:

For the fee receiving branch of SBI:

For the fee receiving branch of SBI:

* Branch should collect Rs.20 extra (total of Rs.125 + Rs.20 = Rs.145)

from the remitter as bank charges and to be credited to the branch
commission account.

Branch should collect Rs.20 extra (total of Rs.125 + Rs.20 = Rs.145)

from the remitter as bank charges and to be credited to the branch
commission account.

*Branch should collect Rs.20 extra (total of Rs.125 + Rs.20 = Rs.145)

from the remitter as bank charges and to be credited to the branch
commission account.

Branch should write the Branch Name, Br.Code, Journal No. &
Date of remittance invariably and hand over both the BHELs
copy and applicants copy to the remitter, duly signed.

Branch should write the Branch Name, Br.Code, Journal No. &
Date of remittance invariably and hand over both the BHELs
copy and applicants copy to the remitter, duly signed.

Branch should write the Branch Name, Br.Code, Journal No. &
Date of remittance invariably and hand over both the BHELs
copy and applicants copy to the remitter, duly signed.