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

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

DNB FINAL EXAM FEE DNB FINAL EXAM FEE DNB FINAL EXAM FEE
Indian Bank A/c No. 6008280724 Indian Bank A/c No. 6008280724 Indian Bank A/c No. 6008280724
NBE’S copy to be attached with the application form / Bank’s copy to be NBE’S copy to be attached with the application form / Bank’s copy to be 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. 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.
Date: _ _ _ _ _ Date: _ _ _ _ _ Date: _ _ _ _ _

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

2. Sl. No. of Application Form _____________________________ 2. Sl. No. of Application Form _____________________________ 2. Sl. No. of Application Form _____________________________
(if applicable):
____
_____________________________ (if applicable):
____
_____________________________ (if applicable):
____
_____________________________
__ __ __
3. Type of Fee Amount in `. 3. Type of Fee Amount in `. 3. Type of Fee Amount in `.

Examinations Fee _______ Examinations Fee _______ Examinations Fee _______

Only Practicle Fee ______ Only Practicle Fee ______ Only Practicle Fee ______
DNB FINAL DNB FINAL DNB FINAL
Registration Fee ________ Registration Fee ________ Registration Fee ________

SUBJECT SUBJECT SUBJECT

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