1/1

PAY IN SLIP (Post Office Copy)

PAY IN SLIP (TNPSC Copy)

PAY IN SLIP (Candidate Copy)

APPLICATION FEE PAYABLE AT ALL

APPLICATION FEE PAYABLE AT ALL

APPLICATION FEE PAYABLE AT ALL

DESIGNATED POST OFFICE

DESIGNATED POST OFFICE

DESIGNATED POST OFFICE

Name of the Candidate: RAJESHWARI

Name of the Candidate: RAJESHWARI

Name of the Candidate: RAJESHWARI

Application No: 341559111

Application No: 341559111

Application No: 341559111

Notification No: 142013

Notification No: 142013

Notification No: 142013

Phone no: 9843013686

Phone no: 9843013686

Phone no: 9843013686

Date of Birth: 01/05/1977

Date of Birth: 01/05/1977

Date of Birth: 01/05/1977

Application Fee : Rs. 0.00 /-

Application Fee : Rs. 0.00 /-

Application Fee : Rs. 0.00 /-

Exam Fee

Exam Fee

Exam Fee

: Rs. 75.00 /-

: Rs. 75.00 /-

: Rs. 75.00 /-

Service Charges : Rs. 12.00 /-

Service Charges : Rs. 12.00 /-

Service Charges : Rs. 12.00 /-

Total

Total

Total

: Rs. 87.00 /-

: Rs. 87.00 /-

: Rs. 87.00 /-

Amount: 87.00

Amount: 87.00

Amount: 87.00

Amount in words :(Rupees ______________

Amount in words :(Rupees ______________

Amount in words :(Rupees ______________

________________________________only)

________________________________only)

________________________________only)

Name of the receiving branch____________

Name of the receiving branch____________

Name of the receiving branch____________

__________________________________

__________________________________

__________________________________

Signature of the Candidate

Signature of the Candidate

Signature of the Candidate

To be filled by the Post Office:

To be filled by the Post Office:

To be filled by the Post Office:

Ref. No:........................

Ref. No:.........................

Ref. No:.........................

Branch Name:........................

Branch Name:........................

Branch Name:........................

Challan No:........................

Challan No:........................

Challan No:........................

Date

Signature of the Authorized

Signature of the Authorized

Signature of the Authorized

Official with branch seal

Official with branch seal

Official with branch seal

Date

Date