tnpsc072015_507392903(1).pdf

1
PAY IN SLIP (Post Office Copy) APPLICATION FEE PAYABLE AT ALL DESIGNATED POST OFFICE Name of the Candidate: DINESH KUMAR Application No: 507392903 Notification No: 072015 Phone no: 9940715791 Date of Birth: 17/12/1987 Application Fee : Rs. 0.00 /- Exam Fee : Rs. 75.00 /- Service Charges : Rs. 12.00 /- Total : Rs. 87.00 /- Amount: 87.00 Amount in words :(Rupees ______________ ________________________________only) Name of the receiving branch____________ __________________________________ Signature of the Candidate To be filled by the Post Office: Ref. No:........................ Branch Name:........................ Challan No:........................ Signature of the Authorized Official with branch seal Date PAY IN SLIP (TNPSC Copy) APPLICATION FEE PAYABLE AT ALL DESIGNATED POST OFFICE Name of the Candidate: DINESH KUMAR Application No: 507392903 Notification No: 072015 Phone no: 9940715791 Date of Birth: 17/12/1987 Application Fee : Rs. 0.00 /- Exam Fee : Rs. 75.00 /- Service Charges : Rs. 12.00 /- Total : Rs. 87.00 /- Amount: 87.00 Amount in words :(Rupees ______________ ________________________________only) Name of the receiving branch____________ __________________________________ Signature of the Candidate To be filled by the Post Office: Ref. No:......................... Branch Name:........................ Challan No:........................ Signature of the Authorized Official with branch seal Date PAY IN SLIP (Candidate Copy) APPLICATION FEE PAYABLE AT ALL DESIGNATED POST OFFICE Name of the Candidate: DINESH KUMAR Application No: 507392903 Notification No: 072015 Phone no: 9940715791 Date of Birth: 17/12/1987 Application Fee : Rs. 0.00 /- Exam Fee : Rs. 75.00 /- Service Charges : Rs. 12.00 /- Total : Rs. 87.00 /- Amount: 87.00 Amount in words :(Rupees ______________ ________________________________only) Name of the receiving branch____________ __________________________________ Signature of the Candidate To be filled by the Post Office: Ref. No:......................... Branch Name:........................ Challan No:........................ Signature of the Authorized Official with branch seal Date 1/1

Upload: arthicse

Post on 08-Nov-2015

214 views

Category:

Documents


0 download

TRANSCRIPT

  • PAY IN SLIP (Post Office Copy)

    APPLICATION FEE PAYABLE AT ALLDESIGNATED POST OFFICE

    Name of the Candidate: DINESH KUMAR

    Application No: 507392903

    Notification No: 072015

    Phone no: 9940715791

    Date of Birth: 17/12/1987

    Application Fee : Rs. 0.00 /-Exam Fee : Rs. 75.00 /-Service Charges : Rs. 12.00 /- Total : Rs. 87.00 /-

    Amount: 87.00 Amount in words :(Rupees ______________________________________________only)Name of the receiving branch______________________________________________

    Signature of the Candidate

    To be filled by the Post Office:Ref. No:........................Branch Name:........................Challan No:........................

    Signature of the Authorized Official with branch seal Date

    PAY IN SLIP (TNPSC Copy)

    APPLICATION FEE PAYABLE AT ALLDESIGNATED POST OFFICE

    Name of the Candidate: DINESH KUMAR

    Application No: 507392903

    Notification No: 072015

    Phone no: 9940715791

    Date of Birth: 17/12/1987

    Application Fee : Rs. 0.00 /-Exam Fee : Rs. 75.00 /-Service Charges : Rs. 12.00 /- Total : Rs. 87.00 /-

    Amount: 87.00Amount in words :(Rupees ______________________________________________only)Name of the receiving branch______________________________________________

    Signature of the Candidate

    To be filled by the Post Office:Ref. No:.........................Branch Name:........................Challan No:........................

    Signature of the Authorized Official with branch seal Date

    PAY IN SLIP (Candidate Copy)

    APPLICATION FEE PAYABLE AT ALLDESIGNATED POST OFFICE

    Name of the Candidate: DINESH KUMAR

    Application No: 507392903

    Notification No: 072015

    Phone no: 9940715791

    Date of Birth: 17/12/1987

    Application Fee : Rs. 0.00 /-Exam Fee : Rs. 75.00 /-Service Charges : Rs. 12.00 /- Total : Rs. 87.00 /-

    Amount: 87.00Amount in words :(Rupees ______________________________________________only)Name of the receiving branch______________________________________________

    Signature of the Candidate

    To be filled by the Post Office:Ref. No:.........................Branch Name:........................Challan No:........................

    Signature of the Authorized Official with branch seal Date

    1/1