DEPOSIT CHALLAN (To be filled in by the candidate)

|

DEPOSIT CHALLAN (To be filled in by the candidate) To be attached to the application form ( photocopy may be retained by candidate)

| BRANCH COPY

CANDIDATE’S COPY

| |

UNITED BANK OF INDIA Challan for Depositing Application Fee/Postage Charge Project : Recruitment of Sports Person 2012-13

| T

Candidate’s Name (In BLOCK Letters) Shri/ _________________________________

E

Account Name- UNITED BANK OF INDIA SPORTYS PERSON’S RECRUITMENT PROJECT 2012-13 Account No : 0389050194433

UNITED BANK OF INDIA Challan for Depositing Application Fee/Postage Charge Project : Recruitment of sports person 2012-13

|

A

Candidate’s Name (In BLOCK Letters) Shri / _________________________________ Account Name: Account No :

UNITED BANK OF INDIA SPORTS PERSON’S RECRUITMENT PROJECT 2012-13

0389050194433

R Application fees : i) Officers (Including OBC) - Rs 400/- (Application Fee & Postage) ii)Clerks (including OBC) - Rs.200/- (Application Fee & Postage) iii)SC / ST Candidates (both Officer & Clerk) & EX-Servicemen (Clerk) * : Rs 50/- (Only Postage )

F R O

Application Fee / Postage Rs. .................................. (As applicable)

M (Rupees ...........................................................................................................only)

Application Fee / Postage (As applicable)

Rs. ..................................

(Rupees ...........................................................................................................only) H

Depositor’s Signature : Contact No* Tick whichever is applicable.

Application fees : i) Officers (Including OBC) Rs 400/- (Application Fee & Postage) ii) Clerks (including OBC) Rs.200/- (Application Fee & Postage) iii)SC/ ST Candidates (both Officer & Clerk) & EX-Servicemen (Clerk) * : Rs 50/- (Only Postage )

E

Depositor’s Signature : Contact No* Tick whichever is applicable.

(To be filled by the Bank)

(To be filled by the Bank) R

Fee receiving branch is advised to write the Branch Name, SOL ID & Transaction ID

Fee receiving branch is advised to write the Branch Name, SOL ID & Transaction ID E

Branch Name :

Branch Name : |

Branch SOL ID :

Branch SOL ID : |

Transaction ID:

Transaction ID: |

Deposit Date :

Deposit Date : Authorized Signatory

Office Seal :

Authorized Signatory

| Office Seal