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Bank Branch Copy NEFT CHALLAN FORM [Customer Mode]

WEST BENGAL CO-OPERATIVE SERVICE COMMISSION


CSCWB Advt. No.

WB Co-operative Service Commissions Copy (to be attached with the Application) NEFT CHALLAN FORM [Customer Mode]
WEST BENGAL CO-OPERATIVE SERVICE COMMISSION
CSCWB Advt. No.

02/2013 Code

Post

02/2013

Post Code

Post applied for


Name of the Co-operative Institution to which the post belongs

Post applied for


Name of the Co-operative Institution to which the post belongs

Applicants name Fathers / Husbands name Date of Birth Originating Bank transmitting the funds Branch Name IFS Code City Name of the Account Account No. Beneficiary IFS Code (Beneficiary) UTR No. (NEFT) Deposit Date Application Fee paid (Rs.) Bank Transaction Charge Depositors Signature Depositors Address

West Bengal Co-operative Service Commission

29312051276
The West Bengal State Co-operative Bank Ltd., Kolkata Main Branch WBSC0000001

Applicants name Fathers / Husbands name Date of Birth Originating Bank transmitting the funds Branch Name IFS Code City Name of the Account Account No. Beneficiary IFS Code (Beneficiary) UTR No. (NEFT)

West Bengal Co-operative Service Commission

29312051276
The West Bengal State Co-operative Bank Ltd., Kolkata Main Branch WBSC0000001

3 160.00

Deposit Date Application Fee paid Bank Transaction Charges Depositors Signature Depositors Address

3 160.00

Signature of Banks Authorised Signatory with Seal

Signature of Banks Authorised Signatory with Seal

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