NATIONAL BOARD OF EXAMINATIONS

Name of Branch________

Date__/__/20__

NATIONAL BOARD OF EXAMINATIONS

Name of Branch________

Date__/__/20__

NATIONAL BOARD OF EXAMINATIONS

Name of Branch________

Date__/__/20__

Bank's Copy

Depositors/Candidate's Copy

NBE'S Copy

Online Sale of Application Form Fee

Axis Bank A/c No. 911020052737221

Online Sale of Application Form Fee

Axis Bank A/c No. 911020052737221

Online Sale of Application Form Fee

Axis Bank A/c No. 911020052737221

NAMS Building, Ansari Nagar, New Delhi

Please Credit : NATIONAL BOARD OF EXAMINATIONS,A/C

NAMS Building, Ansari Nagar, New Delhi

Please Credit : NATIONAL BOARD OF EXAMINATIONS,A/C

NAMS Building, Ansari Nagar, New Delhi

Please Credit : NATIONAL BOARD OF EXAMINATIONS,A/C

Candidate Name (in Capital Letters) _________________

Candidate Name (in Capital Letters)

Candidate Name (in Capital Letters)

______________________________________________
Application Form No.

Course

Year
Bank Transaction
Cheques

: ______________________
Please tick (9) applicable

FMGE EXAM FEE

DNB CET EXAM FEE
DNB FINAL EXAM FEE
CET SS EXAM FEE
POST DIPLIMA CET
Fellowship Enterrance/Exit

: 20__

______________________________________________
Application Form No.

Course

Year
Bank Transaction
Cheques

: Cash

_________________

: ______________________
Please tick (9) applicable

FMGE EXAM FEE

DNB CET EXAM FEE
DNB FINAL EXAM FEE
CET SS EXAM FEE
POST DIPLIMA CET
Fellowship Enterrance/Exit

: 20__

______________________________________________
Application Form No.

Course

Year
Bank Transaction
Cheques

: Cash

______________________
Please tick (9) applicable
FMGE EXAM FEE
DNB CET EXAM FEE
DNB FINAL EXAM FEE
CET SS EXAM FEE
POST DIPLIMA CET
Fellowship Enterrance/Exit

20__

Cash

Information Bulletin &

Application form Fee

: RS. 750/-

Information Bulletin &

Application form Fee

: RS. 750/-

Information Bulletin &

Application form Fee

RS. 750/-

Bank Charges

: _______

Bank Charges

: _______

Bank Charges

_______

Total Amount(in figure)

Total Amount(in figure)

Total Amount(in figure)

Total Amount(in words)

________________________

______________________________________________
Bank Transaction ID No.
(For Bank use only)
______________________

Signature/Seal of Bank Official

Signature of Dipositor

Total Amount(in words) :

________________________

______________________________________________
Bank Transaction ID No.
(For Bank use only)
______________________

Signature/Seal of Bank Official

Signature of Dipositor

_________________

Total Amount(in words) :

________________________

______________________________________________
Bank Transaction ID No.
______________________
(For Bank use only)

Signature/Seal of Bank Official

Signature of Dipositor

NATIONAL BOARD OF EXAMINATIONS

NATIONAL BOARD OF EXAMINATIONS

NATIONAL BOARD OF EXAMINATIONS

NBE'S Copy

Bank's Copy

Depositors/Candidates Copy

POST DIPLOMA CET EXAM FEE

AXIS BANK A/c No.910020046240163

POST DIPLOMA CET EXAM FEE

AXIS BANK A/c No.910020046240163

POST DIPLOMA CET EXAM FEE

AXIS BANK A/c No.910020046240163

NBES copy to be attached with the application form / Banks copy to be

retained by the Bank / Candidates copy to be retained by the candidate.

NBES copy to be attached with the application form / Banks copy to be

retained by the Bank / Candidates copy to be retained by the candidate.

NBES copy to be attached with the application form / Banks copy to be

retained by the Bank / Candidates copy to be retained by the candidate.

Challan No.
1. Name (in Capital letters):

Date: _ _ _ _ _
_____________________________

_______________________________________________________________
2. Sl. No. of Application Form
(if applicable):

3. Type of Fee

Challan No.
1. Name (in Capital letters):

Date: _ _ _ _ _
_____________________________

_______________________________________________________________

Challan No.
1. Name (in Capital letters):

Date: _ _ _ _ _
_____________________________

_______________________________________________________________

_____________________________ 2. Sl. No. of Application Form

_____________________________ 2. Sl. No. of Application Form

_____________________________

_____________________________

_____________________________

_____________________________

Amount in `.

(if applicable):

3. Type of Fee

EXAM FEE ______________

05) POST DIPLOMA CET

Amount in `.

(if applicable):

3. Type of Fee

EXAM FEE ______________

05) POST DIPLOMA CET

LATE FEE ______________

Amount in `.

EXAM FEE ______________

05) POST DIPLOMA CET

LATE FEE ______________

LATE FEE ______________

4. Bank Charges :-__________________________________

4. Bank Charges :-__________________________________

4. Bank Charges :-__________________________________

5. Amount (in Figure) :- _________________________________________

5. Amount (in Figure) :- _________________________________________

5. Amount (in Figure) :- _________________________________________

6. Amount (in words) ___________________________________________

6. Amount (in words) ___________________________________________

6. Amount (in words) ___________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

7. Denomination of notes:

7. Denomination of notes:

7. Denomination of notes:

8. Bank Branch in which fee Deposited ___________________________

___________________________________________________________

8. Bank Branch in which fee Deposited ___________________________

___________________________________________________________

8. Bank Branch in which fee Deposited ___________________________

___________________________________________________________

9. Bank Transaction ID No.

9. Bank Transaction ID No.

9. Bank Transaction ID No.

_______________________
(For Bank use only)

_______________________
(For Bank use only)

_______________________
(For Bank use only)

Bank Seal & Signature of

Authorized Bank Officer receiving
the amount

(Signature of the
Candidate)

Bank Seal & Signature of

Authorized Bank Officer receiving
the amount

(Signature of the
Candidate)

Bank Seal & Signature of

Authorized Bank Officer receiving
the amount

(Signature of the
Candidate)