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(Applicant's Copy) (WBSEDCL's Copy) (Bank's Copy)

Deposit Challan for Recruitment of OFFICE EXECUTIVE Deposit Challan for Recruitment of OFFICE EXECUTIVE Deposit Challan for Recruitment of OFFICE EXECUTIVE
Under WBSEDCL Under WBSEDCL Under WBSEDCL
DEPOSIT AT ANY BRANCH OF UNITED BANK OF INDIA DEPOSIT AT ANY BRANCH OF UNITED BANK OF INDIA DEPOSIT AT ANY BRANCH OF UNITED BANK OF INDIA
(UBI) BY CASH ONLY (UBI) BY CASH ONLY (UBI) BY CASH ONLY

NODAL BRANCH :MAYUKH BHAWAN BRANCH NODAL BRANCH :MAYUKH BHAWAN BRANCH NODAL BRANCH :MAYUKH BHAWAN BRANCH
Branch Where Fee Deposited : Branch Where Fee Deposited : Branch Where Fee Deposited :
Deposit Date : _____ / _____ / 2017 Deposit Date : _____ / _____ / 2017 Deposit Date : _____ / _____ / 2017
Notification Number: MPP/2017/04 Notification Number: MPP/2017/04 Notification Number: MPP/2017/04
POST:OFFICE EXECUTIVE POST:OFFICE EXECUTIVE POST:OFFICE EXECUTIVE

Finacle Menu:PAYFEE Finacle Menu:PAYFEE Finacle Menu:PAYFEE

Module:"WBSEDCL_001" Module:"WBSEDCL_001" Module:"WBSEDCL_001"

Registration No :17327765 Registration No:17327765 Registration No:17327765
Applicant's Name :SANKHA PATTANAYAK Applicant's Name:SANKHA PATTANAYAK Applicant's Name:SANKHA PATTANAYAK
Mobile No :9477521555 Mobile No:9477521555 Mobile No:9477521555
Name of the CD Account Credited: 1096050102001 Name of the CD Account Credited: 1096050102001 Name of the CD Account Credited: 1096050102001
Application Fee: Rs.300/ Application Fee Rs.300/ Application Fee Rs.300/
Service Charge: Rs.46/ Service Charge Rs.46/ Service Charge Rs.46/
Total Amount: Rs.346/-(Three Hundred Fourty Total Amount Rs.346/-(Three Hundred Fourty Total Amount Rs.346/-(Three Hundred Fourty
Six Rupees Only) Six Rupees Only) Six Rupees Only)
Branch SOL ID: ____________________ Branch SOL ID ____________________ Branch SOL ID ____________________
Transaction ID: ____________________ Transaction ID ____________________ Transaction ID ____________________

Signature of the Signature of the Authorized Signature of the Signature of the Authorized Signature of the Signature of the Authorized
Depositer Official with Branch Seal Depositer Official with Branch Seal Depositer Official with Branch Seal
Registration Date:5/15/2017 11:45:31 PM Registration Date:5/15/2017 11:45:31 PM Registration Date:5/15/2017 11:45:31 PM
Challan Print Date:5/15/2017 11:47:03 PM Challan Print Date:5/15/2017 11:47:03 PM Challan Print Date:5/15/2017 11:47:03 PM

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