CHALLAN FOR APPLICATION FEE FOR DEVELOPMENT ASSISTANT/PHARMACIST IN NABARD - TO

BE DEPOSITED IN STATE BANK OF INDIA

Bank s Copy NABARD s Copy * Candidate s Copy

Unique No.
(to be entered by SBI branch)
Unique No.
(to be entered by SBI branch)
Unique No.
(to be entered by SBI branch)
NABARD FEE COLLECTION FOR THE POST OF
DEVELOPMENT ASSISTANT / PHARMACIST
NABARD FEE COLLECTION FOR THE POST OF
DEVELOPMENT ASSISTANT / PHARMACIST
NABARD FEE COLLECTION FOR THE POST OF
DEVELOPMENT ASSISTANT / PHARMACIST
Name of Banker :
STATE BANK OF INDIA
Challan for Application Fee for
DEVELOPMENT ASSISTANT /
PHARMACIST
Name of Banker :
STATE BANK OF INDIA
Challan for Application Fee for
DEVELOPMENT ASSISTANT /
PHARMACIST
Name of Banker :
STATE BANK OF INDIA
Challan for Application Fee for
DEVELOPMENT ASSISTANT /
PHARMACIST
Amount may be deposited in any branch of State Bank of India Amount may be depos
ited in any branch of State Bank of India Amount may be deposited in any branch
of State Bank of India
A/c. No.30647012611 Branch Code : 04380,
BKC Branch, Mumbai
A/c. No.30647012611 Branch Code : 04380,
BKC Branch, Mumbai
A/c. No.30647012611 Branch Code : 04380,
BKC Branch, Mumbai
Date of Receipt (To be filled in by the Bank) : Date of Receipt (To be filled in
by the Bank) : Date of Receipt (To be filled in by the Bank) :
Applicant s Name* (To be filled in capital letters) Applicant s Name* (To be filled
in capital letters) Applicant s Name* (To be filled in capital letters)
Fee / Postal Charges (Tick whichever is applicable) Fee / Postal Charges (Tick w
hichever is applicable) Fee / Postal Charges (Tick whichever is applicable)
SC/ST/Persons
with Disability (PC)
Rs. 50/-per candidate (only
Banking Facilitation charges +
Other charges)
SC/ST/Persons with
Disability (PC)
Rs. 50/-per candidate (only
Banking Facilitation charges +
Other charges)
SC/ST/Persons with
Disability (PC)
Rs. 50/-per candidate (only
Banking Facilitation charges +
Other charges)
Gen / OBC /
Ex-Servicemen
Rs. 250/-per candidate Gen / OBC /
Ex-Servicemen
Rs. 250/-per candidate Gen / OBC /
Ex-Servicemen
Rs. 250/-per candidate
Amount in figures : Amount in figures : Amount in figures :
( in words) Rupees ( in words) Rupees ( in words) Rupees
Signature of Bank s Official
with seal
Signature of Candidate/ Depositor Signature of Bank s Official with
seal
Signature of Candidate/ Depositor Signature of Bank s Official
with seal
Signature of Candidate/
Depositor
* Name should be indicated in the following manner and it should be entered in t
he same manner in the On-Line application.
(Surname) (First Name) (Middle Name)
* Initially to be retained by the Applicant and to be submitted with the admissi
on letter at the time of written examination.