KARNATAKA STATE POLICE DEPARTMENT KARNATAKA STATE POLICE DEPARTMENT KARNATAKA STATE POLICE DEPARTMENT

APPLICATION FOR THE POST OF WARDER APPLICATION FOR THE POST OF WARDER APPLICATION FOR THE POST OF WARDER
(MEN & WOMEN) IN KARNATAKA PRISON DEPARTMENT- (MEN & WOMEN) IN KARNATAKA PRISON DEPARTMENT- (MEN & WOMEN) IN KARNATAKA PRISON DEPARTMENT-
2017 2017 2017
C¢ü¸ÀÆZÀ£É ¸ÀASÉå. E4/CR-11/2017-18 C¢ü¸ÀÆZÀ£É ¸ÀASÉå. E4/CR-11/2017-18 C¢ü¸ÀÆZÀ£É ¸ÀASÉå. E4/CR-11/2017-18
Date : 21-Dec-2017 Post: WARDER Bank Copy Date : 21-Dec-2017 Post: WARDER Rect Copy Date : 21-Dec-2017 Post: WARDER Candidate Copy
Applied as Direct Candidate Application No 3500132 Applied as Direct Candidate Application No 3500132 Applied as Direct Candidate Application No 3500132
Category SC-Rural/Kan Category SC-Rural/Kan Category SC-Rural/Kan
Fee Challan Fee Challan Fee Challan

Name NARESH N Name NARESH N Name NARESH N

DOB 22 Jul 1993 Gender Male DOB 22 Jul 1993 Gender Male DOB 22 Jul 1993 Gender Male
Claiming HK Reservation No Claiming HK Reservation No Claiming HK Reservation No
( For Bank Use Only ) ( For Bank Use Only ) ( For Bank Use Only )
Date of Fee Date of Fee Date of Fee
Journal No Journal No Journal No
Payment Payment Payment

To be Credited to Recruitment - 2017 To be Credited to Recruitment - 2017 To be Credited to Recruitment - 2017

CBS SCREEN 8888 SBI CBS SCREEN 8888 SBI CBS SCREEN 8888 SBI
Fee Collection Type 7133 Fee Collection Type 7133 Fee Collection Type 7133

Particulars Amount Particulars Amount Particulars Amount

Fee 100 Fee 100 Fee 100
100 100 100
Total Total Total

LAST DATE FOR PAYMENT OF FEE 11/01/2018 LAST DATE FOR PAYMENT OF FEE 11/01/2018 LAST DATE FOR PAYMENT OF FEE 11/01/2018

Signature of the Applicant Signature of the Applicant Signature of the Applicant

Recieved a Sum of Recieved a Sum of Recieved a Sum of
Rupees One Hundred Only Rupees One Hundred Only Rupees One Hundred Only

Date & Seal, Signature of the receiving authority of the designated Date & Seal, Signature of the receiving authority of the designated Date & Seal, Signature of the receiving authority of the designated
branches of SBI (State Bank of India) branches of SBI (State Bank of India) branches of SBI (State Bank of India)
NOTE : DONLOAD FILLED APPLICATION FORM AT www.ksp.gov.in NOTE : DONLOAD FILLED APPLICATION FORM AT www.ksp.gov.in NOTE : DONLOAD FILLED APPLICATION FORM AT www.ksp.gov.in
AFTER NEXT 2 WORKING DAYS OF THE FEE PAYMENT AFTER NEXT 2 WORKING DAYS OF THE FEE PAYMENT AFTER NEXT 2 WORKING DAYS OF THE FEE PAYMENT
HELP LINE HELP LINE HELP LINE
SBI No : 080 - 25559483 SBI No : 080 - 25559483 SBI No : 080 - 25559483
Date & Time 21/Dec/2017 8:46 PM Date & Time 21/Dec/2017 8:46 PM Date & Time 21/Dec/2017 8:46 PM
IP Address 14.139.155.11 IP Address 14.139.155.11 IP Address 14.139.155.11
Pay Examination fee after 24 hours of generating the challan Pay Examination fee after 24 hours of generating the challan Pay Examination fee after 24 hours of generating the challan