FMGE Application Fee and Exam Fee Deposit - Indian Bank only

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 Indian Bank A/c No. 766878280

Online Sale of Application Form Fee Indian Bank A/c No. 766878280

Online Sale of Application Form Fee Indian Bank A/c No. 766878280

NAMS Building, Ansari Nagar, New Delhi Please Credit : NATIONAL BOARD OF EXMINATIONS,A/C

NAMS Building, Ansari Nagar, New Delhi Please Credit : NATIONAL BOARD OF EXMINATIONS,A/C

NAMS Building, Ansari Nagar, New Delhi Please Credit : NATIONAL BOARD OF EXMINATIONS,A/C

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__ : Cash

Candidate Name (in Capital Letters)

______________________________________________ Application Form No.

:

______________________ 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

Course

:

Year Bank Transaction Cheques

:

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

FMGE EXAM FEE Indian Bank A/c No.6008272973

FMGE EXAM FEE Indian Bank A/c No.6008272973

FMGE EXAM FEE Indian Bank A/c No.6008272973

NBE’S copy to be attached with the application form / Bank’s copy to be retained by the Bank / Candidate’s copy to be retained by the candidate. Challan No. …………………… 1. Name (in Capital letters):

Date: _ _ _ _ _ _____________________________

NBE’S copy to be attached with the application form / Bank’s copy to be retained by the Bank / Candidate’s copy to be retained by the candidate. Challan No. …………………… 1. Name (in Capital letters):

Date: _ _ _ _ _ _____________________________

NBE’S copy to be attached with the application form / Bank’s copy to be retained by the Bank / Candidate’s copy to be retained by the candidate. Challan No. …………………… 1. Name (in Capital letters):

Date: _ _ _ _ _ _____________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

2. Sl. No. of Application Form

2. Sl. No. of Application Form

2. Sl. No. of Application Form

(if applicable):

3. Type of Fee

FMGE EXAM

_____________________________ _____________________________

Amount in `.

EXAM FEE ____________

(if applicable):

3. Type of Fee

FMGE EXAM

LATE FEE ____________

_____________________________ _____________________________

Amount in `.

EXAM FEE ____________

(if applicable):

3. Type of Fee

FMGE EXAM

LATE FEE ____________

_____________________________ _____________________________

Amount in `.

EXAM 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)