Branch Copy

Company Copy

State Bank of India

Applicant Copy

State Bank of India

State Bank of India

Rashtriya Chemicals & Fertilizers Ltd.

Rashtriya Chemicals & Fertilizers Ltd.

Rashtriya Chemicals & Fertilizers Ltd.

APPLICATION FEE PAYMENT CHALLAN

APPLICATION FEE PAYMENT CHALLAN

APPLICATION FEE PAYMENT CHALLAN

Date:-_______________

Date:-_______________

Date:-_______________

Account No.32376431341 Rashtriya Chemicals & Fertilizers Limited Fee A/C at Mahul Road Branch, Chembur, Br.Code: 0564.

Account No. 32376431341 Rashtriya Chemicals & Fertilizers Limited Fee A/C at Mahul Road Branch, Chembur, Br.Code: 0564.

Account No. 32376431341 Rashtriya Chemicals & Fertilizers Limited Fee A/C at Mahul Road Branch, Chembur, Br.Code: 0564.

Name of the Applicant:_____________________ Post Applied for_____________________ Discipline:_________________ E-mail Id:________________________________ Phone No.(Mobile)____________________

Name of the Applicant:_____________________ Post Applied for_____________________ Discipline:_________________ E-mail Id:________________________________ Phone No.(Mobile)____________________

Name of the Applicant:_____________________ Post Applied for_____________________ Discipline:_________________ E-mail Id:________________________________ Phone No.(Mobile)____________________

Fee details Particulars Amount (Rs.) Application Fee (Gen/OBC) Plus Bank Charges Rs.50.00

Fee details Particulars Amount (Rs.) Application Fee (Gen/OBC) Plus Bank Charges Rs.50.00

Fee details Particulars Amount (Rs.) Application Fee (Gen/OBC) Plus Bank Charges Rs.50.00

Signature of the Applicant

Signature of the Applicant

Signature of the Applicant

(To be filled by Bank)

(To be filled by Bank)

Branch Stamp SBI Branch Name :_________________

(To be filled by Bank)

Branch Stamp

Branch Stamp

SBI Branch Name :_________________ Deposit Date

SBI Branch Name :_________________

Branch Code

Branch Code

Branch Code

Journal No.

Journal No.

Journal No.

Deposit Date

Authorized Signatory

Authorized Signatory

Deposit Date

Authorized Signatory