To be filled in by the remitter To be filled in by the remitter To be filled in by the remitter To be filled in by the remitter
Important Important Importa nt Important
Bank Bank details Bank Bank details
details must must be filled details must must be filled
be filled by b y th e be filled by by the
the cand idate the cand idate
cand idate cand idate
For Bank use only For Bank use only For Bank use only For Bank use only
Received payment Rs. /- Receiv ed payment Rs. /- Received pay ment Rs. /- Received payme nt Rs. /-
(in words) Rupees o n ly ) (in words) Rupees o n ly ) (in words) Rupees o n ly ) (in words) Rupees o n ly )