Cash Voucher Cash Voucher Cash Voucher

__________________ Branch (Code No. __________) __________________ Branch (Code No. __________) __________________ Branch (Code No. __________)

Name of the Candidate Name of the Candidate Name of the Candidate

Present Address Present Address Present Address

Post Code Post Code Post Code

Date of Birth Date of Birth Date of Birth

Mobile/Landline No. Mobile/Landline No. Mobile/Landline No.

E-mail Address E-mail Address E-mail Address

Institute's Copy Candidate's CopyBank's Copy

Advt. No. 03/2016 : R-III - Application Fee Payment Advt. No. 03/2016 : R-III - Application Fee Payment Advt. No. 03/2016 : R-III - Application Fee Payment

COLLECTION A/C NO. 31519633821 COLLECTION A/C NO. 31519633821 COLLECTION A/C NO.31519633821

Head Head Head

Application Fees Application Fees Application Fees

Bankers Charges Bankers Charges Bankers Charges

Total Total Total

Amount in words Rupees Two hundred only Amount in words Rupees Two hundred only Amount in words Rupees Two hundred only

CHALLAN NO. CHALLAN NO. CHALLAN NO.

SEAL / DATE AUTHRISED SIGNATORY SEAL / DATE AUTHRISED SIGNATORY SEAL / DATE AUTHRISED SIGNATORY

Amount Credit to Amount Credit to Amount Credit to

` 150.00 31519633821 ` 150.00 31519633821 ` 150.00 31519633821

` 50.00 98353XXXXXX ` 50.00 98353XXXXXX ` 50.00 98353XXXXXX

` 200.00 ` 200.00 ` 200.00

_____________________________ _____________________________ _____________________________

Signature of the Candidate/ Remitter Signature of the Candidate/ Remitter Signature of the Candidate/ Remitter

For Receiving Branch use only For Receiving Branch use only For Receiving Branch use only

ANNEXURE-5

िश�णिश�णिश�णिश�ण केकेकेके मायममायममायममायम/परी�ापरी�ापरी�ापरी�ा कीकीकीकी भाषाभाषाभाषाभाषा संबंधीसंबंधीसंबंधीसंबंधी ूमाणपऽूमाणपऽूमाणपऽूमाणपऽ

(संःथानसंःथानसंःथानसंःथान केकेकेके पऽपऽपऽपऽ-शीष�शीष�शीष�शीष� परपरपरपर ूािधकृूािधकृूािधकृूािधकृतततत �यि �यि �यि �यि केकेकेके हःता�रहःता�रहःता�रहःता�र सेसेसेसे जारीजारीजारीजारी िकयािकयािकयािकया जाजाजाजाएएएए) CERTIFICATE OF MEDIUM OF EDUCATION/ EXAMINATION

(TO BE OBTAINED FROM THE INSTITUTION ON THE LETTERHEAD UNDER SIGNATURE OF THE AUTHORISED PERSON OF THE INSTITUTE)

िजसिजसिजसिजस िकसीिकसीिकसीिकसी सेसेसेसे सबंंिधतसबंंिधतसबंंिधतसबंंिधत होहोहोहो TO WHOM SO EVER IT MAY CONCERN

ूमािणत िकया जाता है िक ौी/कु/ौीमती __________________________________ ने इस

महािव,ालय/िव.िव,ालय से ःनातक/ःनातको/र िडमी की िश�ा लेकर परी�ा दी है। उनकी परी�ा के मायम का

िववरण नीचे िदया गया है:-

Certified that Shri/Ku./Smt. ___________________ has studied and

obtained his/her Graduation/Post Graduation Degree from this

College/University/Institute. Details of his/her medium of Examination

given here under:-

पा7यबमपा7यबमपा7यबमपा7यबम काकाकाका नामनामनामनाम Name of the Course

परीपरीपरीपरी�ा�ा�ा�ा काकाकाका भाषाग तभाषाग तभाषाग तभाषाग त मायममायममायममायम Medium (Language) of Examination

ःनातक Graduation e.g BA, BSc,

BCom. etc

ःनातको/र Post Graduation e.g MA, MSc,

MCom. etc

सःंथा के ूािधकृत �यि के हःता�र व रबर की मोहर

िदनांक Date: Signature of Authorised person with

Rubber Stamp of the Organization

rpv/21042016

ऑन लाइन आवदेन भरने के िलए अनदुशे ऑन लाइन आवदेन भरने के िलए अनदुशे ऑन लाइन आवदेन भरने के िलए अनदुशे ऑन लाइन आवदेन भरने के िलए अनदुशे :::: Instructions For Filling Up of On-line Application :

1. शै िणक यो यता के अंतगत कृपया अ युि य के कॉलम म िश ा के मा यम का उ लेख कर । Under Educational Qualification please mention medium of education in ‘Remarks’

column.

2. जब भी मांगा जाए, वेबसाइट www.barcruit.gov.in म दिशत िव ापन के अनुल नक - IV के अनुसार परी ा के मा यम के संबंध म माणप तुत करना होगा । A certificate regarding medium of examination as per Annexure-IV of Advertisement

displayed in website www.barcrecruit.gov.in is required to be submitted, whenever

asked for.

3. कं यूटर का ान, िहदी यूनीकोड टाइिपग इ यािद से संबंिधत जानकारी का उ लेख

“अ य कोई सूचना” कॉलम म िकया जा सकता ह ै। Information regarding Computer Knowledge, Hindi Unicode Typing etc. may be

mentioned in the ‘Any other information’ column.

4. यिद पा म की अविध माह म ह ैतो वष के प म अविध के कॉलम म ‘O’ िलखा जाए और ‘अ युि य ’ के कॉलम म पा म की अविध के सही महीन का उ लेख कर । If the course duration is in months, put ‘0’ in duration column as years and mention the

exact duration of course which is in months in ‘Remarks’ column.

5. वे सभी अ यथ िज ह िव ततृ िव ापन म सूिचत “आवेदन शु क” भरना ह,ै उ ह

सलाह दी जाती ह ैिक वे ऑन-लाइन आवेदन जमा करने से पहले सव थम िन धािरत चालान म “आवदने शु क” जमा कर । All those candidates who are required to pay ‘Application Fee’ as mentioned in the

detailed advertisement, are advised to first pay the fees in the prescribed challan before

submitting the online application.