CHALLAN FOR IDBI BANK LTD.

Collecting Branch's copy Candidate's copy for submission to HRD - IDBI Bank Ltd. Cand
SRD- Post Advt in September 2010 SRD- Post Advt in September 2010 SRD- Post Ad
Post Applied: Assistant Manager /Manager / Assistant General Manager Post Applied: Assistant Manager /Manager / Assistant General Manager Post Applied: Assistant Manage
Unique No. Unique No. Unique No.
(To be entered by Bank) (To be entered by Bank) (To be entered by Bank)
IDBI BANK LTD. IDBI BANK LTD. IDBI
Name of Banker : IDBI Post Applied : Name of Banker : IDBI Post Applied : Name of Banker : IDBI
BANK LTD. BANK LTD. BANK LTD.
Amount may be deposited in any branch of IDBI BANK LTD Amount may be deposited in any branch of IDBI BANK LTD Amount may be deposited in any b
A/C No. 126102000000408 Branch Code : 126, Cuffe Parade, Mumbai A/C No. 126102000000408 Branch Code : 126, Cuffe Parade, Mumbai A/C No. 126102000000408

Date of Receipt : Date of Receipt : Date of Receipt :

Candidate's Name : * Candidate's Name : * Candidate's Name : *

Address : Address : Address :

Contact No. Contact No. Contact No.

Category: OBC/SC/ST/PWD Category: OBC/SC/ST/PWD Category:
Amount in figure : # Rs. Amount in figure : # Rs. Amount in figure : #
(in words :) Rupees : (in words :) Rupees : (in words :) Rupees :

# Application Fee for OBC category : Rs.400/- & SC/ST/PWD category : # Application Fee for OBC category : Rs.400/- & SC/ST/PWD category : # Application Fee for OBC catego
Rs.75/- Rs.75/- Rs.75/-

Signature of Bank's Official Signature of Candidate/Depositor Signature of Bank's Official Signature of Candidate/Depositor Signature of Bank's Official

* (Name should be indicated in the following manner and it should be entered in the same manner in the On-Line application)

(Surname) (First Name) (Middle name )

 Candidate's copy
SRD- Post Advt in September 2010
: Assistant Manager /Manager / Assistant General Manager

by Bank)
IDBI BANK LTD.
Post Applied :

e deposited in any branch of IDBI BANK LTD

Branch Code : 126, Cuffe Parade, Mumbai

OBC/SC/ST/PWD
Rs.
pees :

Fee for OBC category : Rs.400/- & SC/ST/PWD category :

Signature of Candidate/Depositor