NEFT Challan National Entrance Screening Test

(NEST 2014)

NEFT Challan National Entrance Screening Test

(NEST 2014)

NEFT Challan National Entrance Screening Test

(NEST 2014)

Part A : to be retained by Bank

Name of Applicant Signature : Application No : Contact No. : 1419352 Tushar Kumar Sahoo

Part B : to be retained by Applicant

Name of Applicant Signature : Application No : Contact No. : 9437413493 700.0 1419352 Tushar Kumar Sahoo

Part C to be sent to NEST Office

Name of Applicant Signature : Application No : Contact No. : 9437413493 700.0 1419352 Tushar Kumar Sahoo

9437413493 700.0

Certified that an amount of

Certified that an amount of

Certified that an amount of

rupees ( Seven Hundred only) has been transferred on behalf of the above applicant to the following account. Bank transaction charges: Account Name : Account Number : Account Type : IFS Code : Beneficiary Bank : Branch : NISER NEST 147601000015979 SB IOBA0001476 Indian Overseas Bank Chandrasekharpur

rupees ( Seven Hundred only) has been transferred on behalf of the above applicant to the following account. Bank transaction charges: Account Name : Account Number : Account Type : IFS Code : Beneficiary Bank : Branch : NISER NEST 147601000015979 SB IOBA0001476 Indian Overseas Bank Chandrasekharpur

rupees ( Seven Hundred only) has been transferred on behalf of the above applicant to the following account. Bank transaction charges: Account Name : Account Number : Account Type : IFS Code : Beneficiary Bank : Branch : NISER NEST 147601000015979 SB IOBA0001476 Indian Overseas Bank Chandrasekharpur

Unique Transaction Reference (UTR) (to be filled by bank)

Unique Transaction Reference (UTR) (to be filled by bank)

Unique Transaction Reference (UTR) (to be filled by bank)

Signature and Seal of Transmitting Bank Bank's Copy

Signature and Seal of Transmitting Bank Applicant's Copy

Signature and Seal of Transmitting Bank NEST Copy