8/4/2019 OS-I Challan Forms -1

http://slidepdf.com/reader/full/os-i-challan-forms-1 1/2

BANK

Copy

Andhra Pradesh Grameena Viks BankOfficer Scale-I Recruitment Account – 2011-12.

A/c No : 73027130721, 73027130878 

Name in Full :

(In CAPITALS)

Date of 

Birth1 9

Category* : SC / ST / Physically Challenged

Fees Rs. 100/- 

Category* : OBC/GEN

Application Fee & Postage Rs. 550/- 

Branch Name where fee paid :Branch Code

Journal No : ………………………….Deposit Date : …………… Fee Paid : Rs………./-.

(Rupees ………………………………………only)

__________________

(Applicant’s Signature)Address :…………………… Authorised Signatory

…………………………………. SS No :………………………………… Branch Seal…………………………………

Mobile/ Phone No:

Tick (√) whichever is applicable. #Fee receiving branch is advised to writeclearly &legibly the Journal/ Scroll No and

Branch Code No invariably.

Candidate Copy

(to be produced at The

time of  Written Test) 

Andhra Pradesh Grameena Viks Bank

Officer Scale-I Recruitment Account – 2011-12.

A/c No : : 73027130721, 73027130878 

Name in Full :(In CAPITALS)

Date of 

Birth1 9

Category* : SC / ST / Physically Challenged

Fees Rs. 100/- 

Category* : OBC/GEN

Application Fee &

Postage Rs. 550/- 

Branch Name where fee paid :

Branch Code

Journal No : ………………………….Deposit Date : …………… Fee Paid : Rs………./-.

(Rupees …………………………………………..only)

__________________

(Applicant’s Signature)

Address :……………………….. Authorised Signatory…………………………………. SS No :

………………………………… Branch Seal

…………………………………

Mobile/ Phone No:

Tick (√) whichever is applicable. #Fee receiving branch is advised to write clearly&legibly the Journal/ Scroll No and Branch Code No

invariably.

(This challan will be required to be submitted by the candidates at

the time of written test otherwise the candidate will not be allowed

to appear for the examination)

Affix Passport

SizePhotograph

and sign across 

Candidate Copy (to

be produced at The

time of  Interview) 

Andhra Pradesh Grameena Viks Bank

Officer Scale-I Recruitment Account – 2011-12.

A/c No : : 73027130721, 73027130878 

Name in Full :(In CAPITALS)

Date of 

Birth1 9

Category* : SC / ST / Physically Challenged

Fees Rs. 100/- 

Category* : OBC/GEN

Application Fee &

Postage Rs. 550/- 

Branch Name where fee paid :

Branch Code

Journal No : ………………………….Deposit Date : …………… Fee Paid : Rs………./-.

(Rupees …………………………………………..only)

__________________

(Applicant’s Signature)

Address :……………………….. Authorised Signatory…………………………………. SS No :

………………………………… Branch Seal

…………………………………

Mobile/ Phone No:

Tick (√) whichever is applicable. #Fee receiving branch is advised to write clearly&legibly the Journal/ Scroll No and Branch Code No

invariably.

(This challan will be required to be submitted by the candidates at

the time of Interview otherwise the candidate will not be allowed

to appear for the examination)

Affix Passport

SizePhotograph

and sign

across 

8/4/2019 OS-I Challan Forms -1

http://slidepdf.com/reader/full/os-i-challan-forms-1 2/2

  BANK Copy

STATE BANK OF INDIA 

APGVB Officer Scale-I Rec. Account – 2011-12

A/c No : 31828156061, 31828155943 

Name in Full :(In CAPITALS)

Date of Birth

1 9

Category* : SC / ST / Physically Challenged

Fees Rs. 100/- 

Category* : OBC/GEN

Application Fee & Postage Rs. 550/- 

Branch Name where fee paid :

Branch Code

Journal No : ………………………….Deposit Date : …………… Fee Paid : Rs………./-.

(Rupees ………………………………………only)

__________________

(Applicant’s Signature)

Address :…………………… Authorised Signatory…………………………………. SS No :………………………………… Branch Seal…………………………………

Mobile/ Phone No:

Tick (√) whichever is applicable. #Fee receiving branch is advised to writeclearly &legibly the Journal/ Scroll No and

Branch Code No invariably.

Candidate Copy

(to be produced at The time of  Written Test) 

STATE BANK OF INDIA 

APGVB Officer Scale-I Recruitment Account – 2011-12.

A/c No : : 31828156061, 31828155943 

Name in Full :(In CAPITALS)

Date of Birth

1 9

Category* : SC / ST / Physically Challenged

Fees Rs. 100/- 

Category* : OBC/GEN

Application Fee &Postage Rs. 550/- 

Branch Name where fee paid :Branch Code

Journal No : ………………………….Deposit Date : …………… Fee Paid : Rs………./-.

(Rupees …………………………………………..only)

__________________

(Applicant’s Signature)Address :……………………….. Authorised Signatory

…………………………………. SS No :………………………………… Branch Seal

…………………………………

Mobile/ Phone No:

Tick (

√) whichever is applicable. #Fee receiving branch is advised to write clearly&legibly the Journal/ Scroll No and Branch Code No

invariably.

(This challan will be required to be submitted by the candidates atthe time of written test otherwise the candidate will not be allowed

to appear for the examination)

Affix PassportSize

Photograph

and signacross 

Candidate Copy

(to be produced at The time of  Interview) 

STATE BANK OF INDIA 

APGVB Officer Scale-I Recruitment Account – 2011-12.

A/c No : : 31828156061, 31828155943 

Name in Full :(In CAPITALS)

Date of Birth

1 9

Category* : SC / ST / Physically Challenged

Fees Rs. 100/- 

Category* : OBC/GEN

Application Fee &Postage Rs. 550/- 

Branch Name where fee paid :Branch Code

Journal No : ………………………….Deposit Date : …………… Fee Paid : Rs………./-.

(Rupees …………………………………………..only)

__________________

(Applicant’s Signature)Address :……………………….. Authorised Signatory

…………………………………. SS No :………………………………… Branch Seal

…………………………………

Mobile/ Phone No:

Tick (

√) whichever is applicable. #Fee receiving branch is advised to write clearly&legibly the Journal/ Scroll No and Branch Code No

invariably.

(This challan will be required to be submitted by the candidates atthe time of written test otherwise the candidate will not be allowed

to appear for the examination)

Affix PassportSize

Photograph

and signacross