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

Bank's Copy NBE’s Copy Depositors/Candidates Copy


Online Fees Account Online Fees Account Online Fees Account
Indian Bank A/c No. 830641451 Indian Bank A/c No. 830641451 Indian Bank A/c No. 830641451
NBE’S copy to be attached with the thesis submission form / Bank’s copy to be NBE’S copy to be attached with the thesis submission form / Bank’s copy to be NBE’S copy to be attached with the thesis submission form / Bank’s copy to be
retained by the Bank / Candidate’s copy to be retained by the candidate. retained by the Bank / Candidate’s copy to be retained by the candidate. retained by the Bank / Candidate’s copy to be retained by the candidate.

Challan No. Date: Challan No. Date: Challan No. Date:


1. Name (in Capital letters): 1. Name (in Capital letters): 1. Name (in Capital letters):

2. DNB Registration number 2. DNB Registration number 2. DNB Registration number

3. Type of Fee / Amount (Please Tick) 1. Fresh Thesis Assessment Fees 3. Type of Fee / Amount(Please Tick) 1. Fresh Thesis Assessment Fees 3. Type of Fee / Amount(Please Tick) 1. Fresh Thesis Assessment Fees
2. Modified Thesis Assessment 2. Modified Thesis Assessment 2. Modified Thesis Assessment
3. Late Thesis Submission Fees 3. Late Thesis Submission Fees 3. Late Thesis Submission Fees
4. Other………………………………. 4. Other………………………………. 4. Other……………………………….

4. Fees Amount 4. Fees Amount 4. Fees Amount

5. Bank Charges :- 5. Bank Charges :- 5. Bank Charges :-


6. Amount (in words) 6. Amount (in words) 6. Amount (in words)

7. Denomination of currency notes: 7. Denomination of currency notes: 7. Denomination of currency notes:

8. Bank Branch 8. Bank Branch 8. Bank Branch

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

9. Bank Transaction ID No. 9. Bank Transaction ID No. 9. Bank Transaction ID No.

Bank Seal & (Signature of Bank Seal & (Signature of Bank Seal & (Signature of
Signature of the Candidate) Signature of the Candidate) Signature of the Candidate)
Authorized Bank Authorized Bank Authorized Bank
Officer receiving Officer receiving Officer receiving
the amount the amount the amount