(Candidate Copy)

(Bank Copy)

Union Bank of India

Union Bank of India

HTET (2014-2015)

HTET (2014-2015)

Cash can be tendered at any CBS Branch of Union Bank of India

Bank A/C No.:
Apply For:
Registration No.:

483001010041570
Level 1,Level 3

Name :

6297741
KANTA DEVI

Date of Birth :
Category :
Home District :
Fee Rs :
Printed on :

31/05/1978
General
Jind
1400/28-06-2015 07:15:48 PM

Cash can be tendered at any CBS Branch of Union Bank of India

Bank A/C No.:
Apply For:
Registration No.:

Fee will not be accepted by the bank after 02/07/2015

483001010041570
Level 1,Level 3

Name :

6297741
KANTA DEVI

Date of Birth :
Category :
Mobile No. :
Fee Rs :
Printed on :

31/05/1978
General
9996932700
1400/28-06-2015 07:15:48 PM

Fee will not be accepted by the bank after 02/07/2015

Signature of the Candidate

(To be filled by the bank)

1000 X ................. = .......................

500 X ................. = .......................
100 X ................. = .......................
50 X ................. = .......................
10 X ................. = .......................

Union Bank of India Branch

Name :
Branch Code :

Signature of the Candidate

(To be filled by the bank)

Transaction Id No. :
Deposit Date :
_________/_________/2015

Union Bank of India Branch

Name :
Branch Code :
Transaction Id No. :

Authorized Signatory

Deposit Date :
_________/_________/2015

Authorized Signatory
Branch Stamp
Candidate should login to the website again and go again to Step-4 and make entries of remittance of
fee.

Branch Stamp
Bank official is requested to enter Registration No. and Name of candidate only in narrative column.