CHALLAN FORM (CASH VOUCHER)

Account No

CHALLAN FORM (CASH VOUCHER)

BRANCH COPY
KASHI GOMTI SAMYUT GRAMIN BANK
Application Fee Details
Recruitment in Kashi Gomti Samyut Gramin Bank
: 616401010050086
Account No

CANDIDATE'S COPY
KASHI GOMTI SAMYUT GRAMIN BANK
Application Fee Details
Recruitment in Kashi Gomti Samyut Gramin Bank Candidate
Photo
: 616401010050086

at KASHI GOMTI SAMYUT GRAMIN BANK

Faatman Road Branch (code 61640) Maldahiya Varanasi

at KASHI GOMTI SAMYUT GRAMIN BANK

Faatman Road Branch (code 61640) Maldahiya Varanasi

Candidate's Name : Mr./Mrs./Kum.

Candidate's Name : Mr./Mrs./Kum.

Post Applied for

Post Applied for

Application Fee *

: Officer (Scale I, II & III)

- Rs. 20/- for SC/ST/PWD candidates.
- Rs.100/- for all others
: Office Assistant (Multipurpose)
- Rs. 20/- for SC/ST/PWD/EXSM candidates.
- Rs.100/- for all others

Application Fee *

: Officer (Scale I, II & III)

- Rs. 20/- for SC/ST/PWD candidates.
- Rs.100/- for all others
: Office Assistant (Multipurpose)
- Rs. 20/- for SC/ST/PWD/EXSM candidates.
- Rs.100/- for all others

Date of Birth

Date of Birth

Branch Name

Branch Name

Branch Sol ID.#

Branch Sol ID.#

Transaction ID No.#

:
:
:

Transaction ID No.#

:
:
:

Deposit Date

Date:

Deposit Date

Deposit Amount
:
Deposit Amount in Words :
Signature of Depositor

Date:

Deposit Amount
:
Deposit Amount in Words :
Authorized Signatory
With Stamp

Address..
.
Phone/Mobile No.
*Tick whichever is applicable.
# Fee receiving branch is advised to write the Transaction ID No., date and
branch Sol ID above invariably.

Signature of Depositor
Authorized Signatory
Address..
With Stamp
.
Phone/Mobile No.
*Tick whichever is applicable.
# Fee receiving branch is advised to write the Transaction IDNo., date and
branch Sol ID above invariably.
(This part of the challan will be required to be submitted by the candidate
at the time of Interview alongwith a photograph, otherwise the candidate
will not be allowed to appear in Interview)

CHALLAN FORM (CASH VOUCHER)

Account No

CHALLAN FORM (CASH VOUCHER)

BRANCH COPY
UNION BANK OF INDIA
Application Fee Details
Recruitment in Kashi Gomti Samyut Gramin Bank
: 360601050050000
Account No

CANDIDATE'S COPY
UNION BANK OF INDIA
Application Fee Details
Candidate
Recruitment in Kashi Gomti Samyut Gramin Bank
Photo
: 360601050050000

at UNION BANK OF INDIA

Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

at UNION BANK OF INDIA

Rathyatra Crossing Branch (code 36060) Rathyatra Varanasi

Candidate's Name : Mr./Mrs./Kum.

Candidate's Name : Mr./Mrs./Kum.

Post Applied for

Post Applied for

Application Fee *

: Officer (Scale I, II & III)

- Rs. 20/- for SC/ST/PWD candidates.
- Rs.100/- for all others
: Office Assistant (Multipurpose)
- Rs. 20/- for SC/ST/PWD/EXSM candidates.
- Rs.100/- for all others

Application Fee *

: Officer (Scale I, II & III)

- Rs. 20/- for SC/ST/PWD candidates.
- Rs.100/- for all others
: Office Assistant (Multipurpose)
- Rs. 20/- for SC/ST/PWD/EXSM candidates.
- Rs.100/- for all others

Date of Birth

Date of Birth

Branch Name

Branch Name

Branch Sol ID.#

Branch Sol ID.#

Transaction ID No.#

:
:
:

Transaction ID No.#

:
:
:

Deposit Date

Date:

Deposit Date

Deposit Amount
:
Deposit Amount in Words :
Signature of Depositor

Date:

Deposit Amount
:
Deposit Amount in Words :
Authorized Signatory
With Stamp

Address..
.
Phone/Mobile No.
*Tick whichever is applicable.
# Fee receiving branch is advised to write the Transaction ID No., date and
branch Sol ID. above invariably.

Signature of Depositor
Authorized Signatory
Address..
With Stamp
.
Phone/Mobile No.
*Tick whichever is applicable.
# Fee receiving branch is advised to write theTransaction ID No., date and
branch Sol ID above invariably.
(This part of the challan will be required to be submitted by the candidate
at the time of Interview alongwith a photograph, otherwise the candidate
will not be allowed to appear in Interview)