Pandyan Grama Bank

Administrative Office, Collectorate Complex, Virudhunagar-626002 Phone: 04562-252633, 253128 Challan No.01 CASH VOUCHER BRANCH COPY Pandyan Grama Bank Recruitment Project - 2013 Recruitment of Officer Middle Management Scale III Account No. (IFSC CODE IOBA0PGB001) 5 1 8 7 0 2 0 0 0 0 0 2 0 1 3 Candidates Name: Mr./Mrs./Kum. Category* Date of Birth SC / ST `20/OBC / General `100/-

Affix Administrative Office, Passport Collectorate Complex, Size Virudhunagar-626002 Photograph Phone: 04562-252633, 253128 Challan No.01 CASH VOUCHER CANDIDATES COPY Pandyan Grama Bank Recruitment Project - 2013 Recruitment of Officer Middle Management Scale III Account No. (IFSC CODE IOBA0PGB001) 5 1 8 7 0 2 0 0 0 0 0 2 0 1 3 Candidates Name: Mr./Mrs./Kum. Category* Date of Birth SC / ST `20/OBC / General `100/-

Pandyan Grama Bank

Pandyan Grama Bank Branch Name: Branch Code No. Deposit Journal No. (to be filled by the Branch: Date of Deposit: `. /- (Rupees. Only)

Pandyan Grama Bank Branch Name: Branch Code No. Deposit Journal No. (to be filled by the Branch: Date of Deposit: `. /- (Rupees. Only)

Signature of the Depositor Address:

Authorised signatory Cash Seal

Signature of the Depositor Address:

Authorised signatory Cash Seal

Mobile No. / Phone No. Tick whichever is applicable Fee receiving branch is advised to write the Deposit Journal No. and Branch Code No. above invariably and affix cash received stamp

Mobile No. / Phone No. *Tick whichever is applicable

*Fee receiving branch is advised to write the Deposit Journal No. and Branch Code No. above invariably and affix cash received stamp (This part of the Challan will be required to be submitted by the candidate at the time of interview along with a photograph, otherwise candidate will not be allowed to appear in the interview)

Pandyan Grama Bank

Administrative Office, Collectorate Complex, Virudhunagar-626002 Phone: 04562-252633, 253128 Challan No.02 CASH VOUCHER BRANCH COPY Pandyan Grama Bank Recruitment Project - 2013 Recruitment of Officer Middle Management Scale II Account No. (IFSC CODE IOBA0PGB001) 5 1 8 7 0 2 0 0 0 0 0 2 0 1 3 Candidates Name: Mr./Mrs./Kum. Category* Date of Birth SC / ST `20/OBC / General `100/-

Affix Administrative Office, Passport Collectorate Complex, Size Virudhunagar-626002 Photograph Phone: 04562-252633, 253128 Challan No.02 CASH VOUCHER CANDIDATES COPY Pandyan Grama Bank Recruitment Project - 2013 Recruitment of Officer Middle Management Scale II Account No. (IFSC CODE IOBA0PGB001) 5 1 8 7 0 2 0 0 0 0 0 2 0 1 3 Candidates Name: Mr./Mrs./Kum. Category* Date of Birth SC / ST `20/OBC / General `100/-

Pandyan Grama Bank

Pandyan Grama Bank Branch Name: Branch Code No. Deposit Journal No. (to be filled by the Branch: Date of Deposit: `. /- (Rupees. Only)

Pandyan Grama Bank Branch Name: Branch Code No. Deposit Journal No. (to be filled by the Branch: Date of Deposit: `. /- (Rupees. Only)

Signature of the Depositor Address:

Authorised signatory Cash Seal

Signature of the Depositor Address:

Authorised signatory Cash Seal

Mobile No. / Phone No. Tick whichever is applicable Fee receiving branch is advised to write the Deposit Journal No. and Branch Code No. above invariably and affix cash received stamp

Mobile No. / Phone No. *Tick whichever is applicable

*Fee receiving branch is advised to write the Deposit Journal No. and Branch Code No. above invariably and affix cash received stamp (This part of the Challan will be required to be submitted by the candidate at the time of interview along with a photograph, otherwise candidate will not be allowed to appear in the interview)

Pandyan Grama Bank

Administrative Office, Collectorate Complex, Virudhunagar-626002 Phone: 04562-252633, 253128 Challan No.03 CASH VOUCHER BRANCH COPY Pandyan Grama Bank Recruitment Project - 2013 Recruitment of Officer Junior Management Scale I Account No. (IFSC CODE IOBA0PGB001) 5 1 8 7 0 2 0 0 0 0 0 2 0 1 3 Candidates Name: Mr./Mrs./Kum. Category* Date of Birth SC / ST / PC `20/OBC / General `100/-

Affix Administrative Office, Passport Collectorate Complex, Size Virudhunagar-626002 Photograph Phone: 04562-252633, 253128 Challan No.03 CASH VOUCHER CANDIDATES COPY Pandyan Grama Bank Recruitment Project - 2013 Recruitment of Officer Junior Management Scale I Account No. ( IFSC CODE IOBA0PGB001) 5 1 8 7 0 2 0 0 0 0 0 2 0 1 3 Candidates Name: Mr./Mrs./Kum. Category* Date of Birth SC / ST / PC `20/OBC / General `100/-

Pandyan Grama Bank

Pandyan Grama Bank Branch Name: Branch Code No. Deposit Journal No. (to be filled by the Branch: Date of Deposit: `. /- (Rupees. Only)

Pandyan Grama Bank Branch Name: Branch Code No. Deposit Journal No. (to be filled by the Branch: Date of Deposit: `. /- (Rupees. Only)

Signature of the Depositor Address:

Authorised signatory Cash Seal

Signature of the Depositor Address:

Authorised signatory Cash Seal

Mobile No. / Phone No. Tick whichever is applicable Fee receiving branch is advised to write the Deposit Journal No. and Branch Code No. above invariably and affix cash received stamp

Mobile No. / Phone No. *Tick whichever is applicable

*Fee receiving branch is advised to write the Deposit Journal No. and Branch Code No. above invariably and affix cash received stamp (This part of the Challan will be required to be submitted by the candidate at the time of interview along with a photograph, otherwise candidate will not be allowed to appear in the interview)