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9/25/13

Bank Challan

CANDIDATE COPY

BANK COPY

NATIONAL ELIGIBILITY TEST-2013 Online Application Fee Payment FEE COLLECTION A/C NO. 24133050000035 [Pusa Campus, New Delhi-110012] Candidate's Name Full Postal Address Date of Birth Category Additional Category Head Application Fee Bank Commission Total : PRERNA NARULA : YAMUNANAGAR : 31-Oct-1986 : Un-Reserved (General) : NO

NATIONAL ELIGIBILITY TEST-2013 Online Application Fee Payment FEE COLLECTION A/C NO. 24133050000035 [Pusa Campus, New Delhi-110012] Candidate's Name Full Postal Address Date of Birth Category Additional Category : PRERNA NARULA : YAMUNANAGAR : 31-Oct-1986 : Un-Reserved (General) : NO

Amount Rs.1000/Rs.25 Rs.1025/-

Head Application Fee Bank Commission Total

Amount Rs.1000/Rs.25 Rs.1025/-

Amount in words: One thousand twenty five rupees only.

Amount in words: One thousand twenty five rupees only.

Signature of the Candidate For use by Receiving Branch Only


A pplication Form No.

Signature of the Candidate For use by Receiving Branch Only


A pplication Form No.

115988

115988

BANK TRANSACTION ID Branch Name Branch Code

BANK TRANSACTION ID Branch Name Branch Code

SEAL/DATE AUTHORISED SIGNATORY

SEAL/DATE AUTHORISED SIGNATORY

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