NATIONAL BOARD OF EXAMINATIONS NATIONAL BOARD OF EXAMINATIONS NATIONAL BOARD OF EXAMINATIONS

Name of Branch________ Date__/__/20__ Name of Branch________ Date__/__/20__ Name of Branch________ Date__/__/20__

Bank's Copy Depositors/Candidate's Copy NBE'S Copy

Online Sale of Application Form Fee Online Sale of Application Form Fee Online Sale of Application Form Fee
Axis Bank A/c No.910020046239422 Axis Bank A/c No.910020046239422 Axis Bank A/c No.910020046239422

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

Candidate Name (in Capital Letters) : _______________ Candidate Name (in Capital Letters) : _______________ Candidate Name (in Capital Letters) : _______________
_____________________________________________ _____________________________________________ _____________________________________________

Application Form No. : ______________________ Application Form No. : ______________________ Application Form No. : ______________________

Course : FMGE Course : FMGE Course : FMGE

Year : 20__ Year : 20__ Year : 20__

Bank Transaction Bank Transaction Bank Transaction

: Cash : Cash : Cash
Cheques Cheques Cheques

Information Bulletin & Information Bulletin & Information Bulletin &

Application form Fee : RS. 750/- Application form Fee : RS. 750/- 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) : ______________________ Total Amount(in words) : ______________________ Total Amount(in words) : ______________________

Bank Transaction ID No. Bank Transaction ID No. Bank Transaction ID No.

(For Bank use only) ______________________ (For Bank use only) ______________________ (For Bank use only) ______________________

Signature/Seal of Bank Official Signature of Dipositor Signature/Seal of Bank Official Signature of Dipositor Signature/Seal of Bank Official Signature of Dipositor