CASH (1ST Copy) PAY-IN-SLIP

(To be retained by the Bank)

CASH (2ND Copy) PAY-IN-SLIP CASH (3RD Copy) PAY-IN-SLIP
Remittance of Fee through Bank Challan for applying ON-LINE. (To be sent by the Applicant to CSIR) (To be retained by the Applicant)

Joint CSIR-UGC (NET) Examination December, 2017 Remittance of Fee through Bank Challan for applying ON-LINE. Remittance of Fee through Bank Challan for applying ON-LINE.

Designated Nodal Branch Joint CSIR-UGC (NET) Examination December, 2017 Joint CSIR-UGC (NET) Examination December, 2017
CSIR Saving A/.c No.: 6 4 5 5 9 9 2 9 5 7
Designated Nodal Branch Designated Nodal Branch
Detail of Fee CSIR Saving A/.c No.: 6 4 5 5 9 9 2 9 5 7 CSIR Saving A/.c No.: 6 4 5 5 9 9 2 9 5 7
(please Tick fee, as applicable)
Category Amount Detail of Fee Detail of Fee
General Rs.1000/- (please Tick fee, as applicable) (please Tick fee, as applicable)
OBC Rs.500/- Category Amount Category Amount
SC/ST/PwD Rs.250/- General Rs.1000/- General Rs.1000/-
OBC Rs.500/- OBC Rs.500/-
To be filled in by the Applicant SC/ST/ PwD Rs.250/- SC/ST/ PwD Rs.250/-

Subject Code: Centre Code: Category: To be filled in by the Applicant To be filled in by the Applicant
Name (Block letters) : ………………………………………………
Address (Block letters): …………………………………………… Subject Code: Centre Code: Category: Subject Code: Centre Code: Category:
……………………………………………………………………..… Name (Block letters) : ……………………………………………… Name (Block letters) : ………………………………………………
Address (Block letters): …………………………………………… Address (Block letters): ……………………………………………
Deposit Amount: Date: ……………………………………………………………………..… ……………………………………………………………………..…
Deposit Fee Amount ……………………………………………….
(in words) Deposit Amount: Date: Deposit Amount: Date:
Phone/Mobile Number: Deposit Fee Amount ………………………………………………. Deposit Fee Amount ……………………………………………….
(in words) (in words)
Phone/Mobile Number: Phone/Mobile Number:
APPLICANT SIGNATURE
__________________________________________________
For Bank Use Only APPLICANT SIGNATURE APPLICANT SIGNATURE
__________________________________________________ __________________________________________________
Received the above amount on……………………….. (date) For Bank Use Only For Bank Use Only
Deposit Journal No…………………………………………….
Bank Name…………………………………………………….. Received the above amount on………………………..(date) Received the above amount on………………………..(date)
Bank/Branch Code…………………………………………….. Deposit Journal No……………………………………………. Deposit Journal No…………………………………………….
Branch Name/City……………………………………………… Bank Name…………………………………………………….. Bank Name……………………………………………………..
Bank/Branch Code…………………………………………….. Bank/Branch Code……………………………………………..
(Signature with seal of the depositing Bank) Branch Name/City……………………………………………… Branch Name/City………………………………………………

Note: 1. Bank name, Branch code and Branch Name/City must (Signature with seal of the depositing Bank) (Signature with seal of the depositing Bank)
be given by the Bank.
2. Bank is requested to accept deposits only upto : 15.09.2017. Note: 1. Bank name, Branch code and Branch Name/City must Note: 1. Bank name, Branch code and Branch Name/City must
__________________________________________________ be given by the Bank. be given by the Bank.
As per agreement with Indian Bank, West Patel Nagar, New 2. Bank is requested to accept deposits only upto : 15.09.2017 2. Bank is requested to accept deposits only upto : 15.09.2017.
Delhi all CBS branches of Indian Bank are authorized to collect __________________________________________________ __________________________________________________
the fees. As per agreement with Indian Bank, West Patel Nagar, New As per agreement with Indian Bank, West Patel Nagar, New
Important Instructions: Candidates may also deposit Delhi all CBS branches of Indian Bank are authorized to collect Delhi all CBS branches of Indian Bank are authorized to collect
their fees through NEFT by giving the following particulars of the fees. the fees.
the Indian bank
Bank Name Indian Bank, West Patel Nagar, New Delhi
A/c No. 6151487178 IFSC Code : IDIB000W006
Note: Same Important Instructions as given in the Bank pay-in- Note: Same Important Instructions as given in the Bank pay-
A/c Name CSIR UGC ONLINE FEES
slip in- slip