Cash Only

(NSEiTs Copy)

Cash Only

(Candidate's Copy)

Cash Only

(Bank Copy)

Challan for remittance of Examination fee for

Challan for remittance of Examination fee for

Challan for remittance of Examination fee for

Test

Test

Test

PowerJyothi Account No: 33029715480 at

PowerJyothi Account No: 33029715480 at

PowerJyothi Account No: 33029715480 at

SBI, Mumbai Main Branch (CODE:00300)

SBI, Mumbai Main Branch (CODE:00300)

SBI, Mumbai Main Branch (CODE:00300)

Name :

Name :

Name :

Date Of Birth :

Date Of Birth :

Date Of Birth :

Mobile No :

Mobile No :

Mobile No :

Examination Opted For( Tick mark)

Examination Opted For( Tick mark)

Examination Opted For( Tick mark)

UIDAI Certification for Operator - Supervisor

UIDAI Certification for Operator - Supervisor

UIDAI Certification for Operator - Supervisor

To be filled by the Bank:

To be filled by the Bank:

To be filled by the Bank:

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

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

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

Branch Code:............

Branch Code:............

Branch Code:............

Journal Number:

Journal Number:

Journal Number:

Date of Deposit:.............

Date of Deposit:.............

Date of Deposit:.............

Examination Fee : Rs.345

Examination Fee : Rs.345

Examination Fee : Rs.345

Bank Charges

Bank Charges

Bank Charges

: Rs. 20

: Rs. 20

: Rs. 20

Examination Fee : Rs.365

Examination Fee : Rs.365

Examination Fee : Rs.365

(Rs. Three Hundred and Sixty five only.)

(Rs. Three Hundred and Sixty five only.)

(Rs. Three Hundred and Sixty five only.)

Signature of the
Remitter

Signature of the Authorized

Official with branch seal

Signature of the
Remitter

Signature of the Authorized

Official with branch seal

Signature of the
Remitter

Signature of the Authorized

Official with branch seal

* Pl. credit Rs 20/- to your Bank commission

A/c No. 98353XXXXXX .

* Pl. credit Rs 20/- to your Bank commission

A/c No. 98353XXXXXX .

* Pl. credit Rs 20/- to your Bank commission

A/c No. 98353XXXXXX .

* Branch should write the branch name, Br

Code, Journal No.& Date of remittance
invariably and hand over both the NSE iTs copy
and applicants copy to the remitter, duly
signed.

* Branch should write the branch name, Br

Code, Journal No.& Date of remittance
invariably and hand over both the NSE iTs copy
and applicants copy to the remitter, duly
signed.

* Branch should write the branch name, Br

Code, Journal No.& Date of remittance
invariably and hand over both the NSE iTs copy
and applicants copy to the remitter, duly
signed.

* Contact Person: Ms.Veera Lewis,

Asst.Manager, SBI, Mumbai Main Branch.
22621106, 22661765 Extn.247

* Contact Person: Ms.Veera Lewis,

Asst.Manager, SBI, Mumbai Main Branch.
22621106, 22661765 Extn.247

* Contact Person: Ms.Veera Lewis,

Asst.Manager, SBI, Mumbai Main Branch.
22621106, 22661765 Extn.247