You are on page 1of 1

Entry should be done through FCMBR (To be retained by the Bank)

Bank Copy

CUB Copy (To be attached by Candidate in Original with Application Form)

Candidate Copy (To be retained by the Candidate)

CENTRAL UNIVERSITY OF BIHAR


Challan for payment of application fee for Teaching and Non-Teaching Positions.
Date
Name of the Account Name of the Bank : : Central University of Bihar Recruitment Punjab National Bank, Raja Bazar, Patna

CENTRAL UNIVERSITY OF BIHAR


Challan for payment of application fee for Teaching and Non-Teaching Positions.
Date
Name of the Account Name of the Bank : : Central University of Bihar Recruitment Punjab National Bank, Raja Bazar, Patna

CENTRAL UNIVERSITY OF BIHAR


Challan for payment of application fee for Teaching and Non-Teaching Positions.
Date
Name of the Account Name of the Bank : : Central University of Bihar Recruitment Punjab National Bank, Raja Bazar, Patna

Bank Account No. : 4 4 5 8 0 0 IFS Code No. Swift Code No.

Bank Account No. : 4 4 5 8 0 0 IFS Code No. Swift Code No.

Bank Account No. : 4 4 5 8 0 0 IFS Code No. Swift Code No.

: PUNB0445800 : PUNBINBBDIB (For US Dollar) ... ... ... ... Fee Paid

: PUNB0445800 : PUNBINBBDIB (For US Dollar) ... ... ... ... Fee Paid

: PUNB0445800 : PUNBINBBDIB (For US Dollar) ... ... ... ... Fee Paid

Post Applied for Discipline

: :

Post Applied for Discipline

: :

Post Applied for Discipline

: :

Candidates Name : Fathers Name Phone/Mob. No. Detail of Fee:Category General/OBC Bank Charges

Candidates Name : Fathers Name Phone/Mob. No. Detail of Fee:Category General/OBC Bank Charges

Candidates Name : Fathers Name Phone/Mob. No. Detail of Fee:Category General/OBC Bank Charges

: :

: :

: :

Total (Amount in words .....)

Total (Amount in words .....)

Total (Amount in words .....)

_____________________ Signature of the Candidate For Bank Use only Transaction Date Transaction No. : . : . For Bank Use only Transaction Date Transaction No.

_____________________ Signature of the Candidate For Bank Use only Transaction Date Transaction No. : . : .

_____________________ Signature of the Candidate : . : .

Bank/Branch Code : . Branch Name/City : .

Bank/Branch Code : . Branch Name/City : .

Bank/Branch Code : . Branch Name/City : .

(Signature with seal of the depositing Bank)

(Signature with seal of the depositing Bank)

(Signature with seal of the depositing Bank)

Bank is requested to accept deposit only upto 30.11.2012

Bank is requested to accept deposit only upto 30.11.2012

Bank is requested to accept deposit only upto 30.11.2012

You might also like