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FORMAT OF CHALLAN

SMALL INDUSTRIES DEVELOPMENT BANK OF INDIA [SIDBI]


RECRUITMENT OF OFFICERS IN GRADE A & B IN SIDBI - 2010-11
CHALLAN FOR DEPOSIT OF APPLICATION CUM PROCESSING FEE IN STATE BANK OF INDIA
SIDBI's Copy (Initially to be retained by the applicant and
Candidate’s Copy to be submitted with the call letter at the time of interview Branch’s Copy
/ test)
SIDBI FEE COLLECTION FOR THE POST OF OFFICERS IN GRADE SIDBI FEE COLLECTION FOR THE POST OF OFFICERS IN GRADE SIDBI FEE COLLECTION FOR THE POST OF OFFICERS IN GRADE
A&B A&B A&B
Details to be filled in by the Branch: Details to be filled in by the Branch: Details to be filled in by the Branch:
Unique / Journal Unique / Unique /
No. : Journal No. Journal No.
: :
Branch Code Branch Code Branch Code
: : :
Date of receipt Date of receipt Date of receipt
: : :
SBI Branch SBI Branch SBI Branch
Name : Name : Name :
A/c. No. 3072870560-4 A/c. No. 3072870560-4 A/c. No. 3072870560-4
A/c Name SMALL INDUSTRIES DEVELOPMENT BANK A/c Name SMALL INDUSTRIES DEVELOPMENT BANK A/c Name SMALL INDUSTRIES DEVELOPMENT BANK
OF INDIA OF INDIA OF INDIA
Amount may be deposited in any CBS branch of State Bank of India Amount may be deposited in any CBS branch of State Bank of India Amount may be deposited in any CBS branch of State Bank of India
Applicant’s Name* (To be filled in capital letters) (as mentioned in  Applicant’s Name* (To be filled in capital letters) (as mentioned in  Applicant’s Name* (To be filled in capital letters) (as mentioned in 
Application Form) Application Form) Application Form)

(Surname) (First Name) (Middle Name) (Surname) (First Name) (Middle Name) (Surname) (First Name) (Middle Name)

Permanent Address of Applicant : (To be filled in capital letters) (as Permanent Address of Applicant : (To be filled in capital letters) (as Permanent Address of Applicant : (To be filled in capital letters) (as
mentioned in Application Form) mentioned in Application Form) mentioned in Application Form)

Category: GEN/OBC/SC/ST/PWD Category: GEN/OBC/SC/ST/PWD Category: GEN/OBC/SC/ST/PWD


Application Fee: # (Rs.) Application Fee: # (Rs.) Application Fee: # (Rs.)
Bank Charges: @ (Rs.) Bank Charges: @ (Rs.) Bank Charges: @ (Rs.)
Total (Rs.) Total (Rs.) Total (Rs.)
(In words) Rupees (In words) Rupees (In words) Rupees
# Application Fee for GEN/OBC category: Rs.300 # Application Fee for GEN/OBC category: Rs.300 # Application Fee for GEN/OBC category: Rs.300
Only Postal Charges for SC/ST/PWD Category: Rs. 50 Only Postal Charges for SC/ST/PWD Category: Rs. 50 Only Postal Charges for SC/ST/PWD Category: Rs. 50
@ NonHome Branch to receive Rs. 50/- to their Commission A/c @ NonHome Branch to receive Rs. 50/- to their Commission A/c @ NonHome Branch to receive Rs. 50/- to their Commission A/c
Separately from the Candidate Separately from the Candidate Separately from the Candidate

Signature of Bank's officials Signature of Bank's officials Signature of Bank's officials


with seal Signature of Candidate/ Depositor with seal Signature of Candidate/ Depositor with seal Signature of Candidate/ Depositor

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