ACK Slip Giri

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    LAST DATE OF CHALLAN PAYMENT AT BANK: 11.08.2009

    Challan ChallanZilla Panchayath, BAGALKOTE

    Rural Development & Panchayat RajDept.

    Government Of Karnataka

    Candidate Copy

    bank use only

    Bank andBranch Name

    Bank Journal No

    Bank JournalDate

    Post Applied For PANCHAYATH DEVELOPMENT OFFICER

    District opted forappointment

    BAGALKOTE

    Ref No 289402

    Name GIRIJA BIDARIMATH

    AddressC S BIDARIMATH, VIDYACHETAN ,RAMDEV GALLI,JAMKHANDI,BAGALKOTE

    Paid into the Credit of Secretary RDPR

    A/C No 64044930154 , State Bank of Mysore , VidhanaSoudha , B'lore

    Sl No Particulars Amount

    1 Application Fee 500.00

    Total 500.00

    Amount in Words: Five hundred only

    Signature of Remitter/Applicant

    Received the above amount in Rs(in words) Five hundred only

    Date :Signature of Receiving

    authority

    Accepted at all the Branches of SBM. (In case of nonavailability of SBM then SBI or SBH)

    No bank charges to be collected from theremitter/applicant

    Zilla Panchayath, BAGALKOTE

    Rural Development & Panchayat RajDept.

    Government Of Karnataka

    Bank Copy

    bank use only

    Bank andBranch Name

    Bank Journal No

    Bank JournalDate

    Post Applied For PANCHAYATH DEVELOPMENT OFFICER

    District opted forappointment

    BAGALKOTE

    Ref No 289402

    Name GIRIJA BIDARIMATH

    AddressC S BIDARIMATH, VIDYACHETAN ,RAMDEV GALLI,JAMKHANDI,BAGALKOTE

    Paid into the Credit of Secretary RDPR

    A/C No 64044930154 , State Bank of Mysore , VidhanaSoudha, B'lore

    Sl NoParticulars Amount

    1Application Fee 500.00

    Total 500.00

    Amount in Words: Five hundred only

    Signature of Remitter/Applicant

    Received the above amount in Rs(in words) Five hundred only

    Date :Signature of Receiving

    authority

    Accepted at all the Branches of SBM. (In case of nonavailability of SBM then SBI or SBH)

    No bank charges to be collected from theremitter/applicant

    Print Back

    Slip http://www.recruitment.kar.nic.in/rdpr/AckSlip.aspx?RefNo=289

    10/7/2009