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CASH (1ST Copy) PAY-IN-SLIP CASH (2ND Copy) PAY-IN-SLIP CASH (3RD Copy) PAY-IN-SLIP

(To be retained by the Bank) (To be sent by the Applicant to CSIR) (To be retained by the Applicant)

Remittance of Fee through Bank Challan for applying ON-LINE. Remittance of Fee through Bank Challan for applying ON-LINE. Remittance of Fee through Bank Challan for applying ON-LINE.

Joint CSIR-UGC (NET) Examination June, 2015 Joint CSIR-UGC (NET) Examination June, 2015 Joint CSIR-UGC (NET) Examination June, 2015

Designated Nodal Branch Designated Nodal Branch Designated Nodal Branch


CSIR Saving A/.c No.: 6 0 5 4 5 5 3 1 6 4 CSIR Saving A/.c No.: 6 0 5 4 5 5 3 1 6 4 CSIR Saving A/.c No.: 6 0 5 4 5 5 3 1 6 4

Detail of Fee Detail of Fee Detail of Fee


(please Tick fee, as applicable) (please Tick fee, as applicable) (please Tick fee, as applicable)
Category Amount Category Amount Category Amount
General Rs.1000/- General Rs.1000/- General Rs.1000/-
OBC Rs. Rs.500/- OBC Rs. Rs.500/- OBC Rs. Rs.500/-
SC/ST/PH/VH Rs.250/- SC/ST/PH/VH Rs.250/- SC/ST/PH/VH Rs.250/-

To be filled in by the Applicant To be filled in by the Applicant To be filled in by the Applicant

Subject Code: Centre Code: Category: Subject Code: Centre Code: Category: Subject Code: Centre Code: Category:
Name (Block letters) : ……………………………………………… Name (Block letters) : ……………………………………………… Name (Block letters) : ………………………………………………
Address (Block letters): …………………………………………… Address (Block letters): …………………………………………… Address (Block letters): ……………………………………………
……………………………………………………………………..… ……………………………………………………………………..… ……………………………………………………………………..…

Deposit Amount: Date: Deposit Amount: Date: Deposit Amount: Date:


Deposit Fee Amount ………………………………………………. Deposit Fee Amount ………………………………………………. Deposit Fee Amount ……………………………………………….
(in words) (in words) (in words)
Phone/Mobile Number: Phone/Mobile Number: Phone/Mobile Number:

APPLICANT SIGNATURE APPLICANT SIGNATURE APPLICANT SIGNATURE


__________________________________________________ __________________________________________________ __________________________________________________
For Bank Use Only For Bank Use Only For Bank Use Only

Received the above amount on……………………….. (date) Received the above amount on………………………..(date) Received the above amount on………………………..(date)
Deposit Journal No……………………………………………. Deposit Journal No……………………………………………. Deposit Journal No…………………………………………….
Bank Name…………………………………………………….. Bank Name…………………………………………………….. Bank Name……………………………………………………..
Bank/Branch Code…………………………………………….. Bank/Branch Code…………………………………………….. Bank/Branch Code……………………………………………..
Branch Name/City……………………………………………… Branch Name/City……………………………………………… Branch Name/City………………………………………………

(Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank)

Note: 1. Bank name, Branch code and Branch Name/City must Note: 1. Bank name, Branch code and Branch Name/City must Note: 1. Bank name, Branch code and Branch Name/City must
be given by the Bank. be given by the Bank. be given by the Bank.
2. Bank is requested to accept deposits only upto : 11.3.2015. 2. Bank is requested to accept deposits only upto : 11.3.2015. 2. Bank is requested to accept deposits only upto : 11.3.2015.
__________________________________________________ __________________________________________________ __________________________________________________
As per agreement with Indian Bank, West Patel Nagar, New As per agreement with Indian Bank, West Patel Nagar, New As per agreement with Indian Bank, West Patel Nagar, New
Delhi all CBS branches of Indian Bank are authorized to collect Delhi all CBS branches of Indian Bank are authorized to collect Delhi all CBS branches of Indian Bank are authorized to collect
the fees. the fees. the fees.
Important Instructions : Srinagar and Imphal
Candidates may deposit their fees through RTGS and NEFT
by giving the following particulars of the Indian Bank :
Bank Name Indian Bank, West Patel Nagar, New Delhi
A/c No. 6151487178 IFSC Code : IDIB000W006 Note: Same Important Instructions as given in the Bank pay-in- Note: Same Important Instructions as given in the Bank pay-
A/c Name CSIR UGC ONLINE FEES slip in- slip

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