Andhra Pradesh Grameena Vikas Bank: A/c No A/c No
Andhra Pradesh Grameena Vikas Bank: A/c No A/c No
Andhra Pradesh Grameena Vikas Bank: A/c No A/c No
A/c No : :
73051546140
(Tick () whichever is applicable) III
Date of Birth D
Servicemen killed in action
Category*SC/ST/PWD/ EXSM/Dependants of Fees Rs. 20/Application Fee & Postage Rs. 100/-
Category* : OBC/GEN
Branch Name where fee paid : ________________________________________ Branch Code : Tr ID / Journal No : .Date of Deposit: Fee Paid : Rs../- (Rupees only)
Tr ID /Journal No : . Date of Deposit : Fee Paid : Rs./-. (Rupees ..only) ______________________ (Applicants Signature) Address : Authorised Signatory . SS No : Branch Seal Mobile/ Phone No: Tick () whichever is applicable. #Fee receiving branch is advised to write clearly &legibly the Journal/ Scroll No and Branch Code No invariably. __________________ (Applicants Signature) Address :.. Authorised Signatory . SS No : Branch Seal Mobile/ Phone No: Tick () whichever is applicable. #Fee receiving branch is advised to write clearly &legibly the Journal/ Scroll No and Branch Code No invariably. (This challan will be required to be submitted by the candidates at the time of Interview otherwise the candidate will not be allowed to appear for the Interview)