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Copyright SBI.

15147249

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Collect

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State Bank Collect

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Payment History

02-Mar-2015 [04:20 PM IST]

State Bank Collect

Payment done successfully on -- : IST

Payment Details:
SBCollect Reference Number

DU12234642

Category

Male - General and Male - OBC

Application Number

15147249

Name of candidate

SHAILENDRA

Date of Birth

30/9/1997

Contact number

7351964188

Application Fee

700

Transaction Charge

INR 16.85

Total Amount

INR 716.85

Remarks
Click here to view/download the e-Receipt

Return to State Bank Collect Home Page

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Payment Successful

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Use

Your payment of INR 716.85 has been made successfully.

Your Transaction Reference Number is 46761694
Kindly wait while we pass on your payment confirmation....
Application# 15147249*
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NEST 2015 Online Form Summary Page

Application number: 15147249

Name:

SHAILENDRA

Category:

OBC

Physically Disabled? (PD):

NO

Gender:

Male

Date of Birth:

1997-09-30 [yyyy-mm-dd]

State of Domicile:

Uttar Pradesh (UP)

Address for
Correspondence:

NEAR BRIJWASI SCHOOL EKTA NAGAR

PILIBHIT U.P

Contacts:

Test Centre Choice:

10 Academic Record:

PIN Code:

262001

Contact#:

7351964188

e-mail ID:

gang30shailendra@gmail.com

First:

Delhi-South (DL)

Second:

Delhi-East (DL)

Class

Year

Board/Council

Percentage

10th/ Equiv.

2012

CBSE

89.30

12th/ Equiv.

2014

CBSE

85.20

11 Father's Name:

PREM PAL

12 Details of Guardian:

Name:

PREM PAL

Contact #:

9897010618

Relationship:

FATHER

Amount:

700 INR (Rupees Seven hundred only)

SBCollect Ref#:

DU12234642

Payment date:

02-Mar 2015

13 Payment Details:
Mode: Online

Declaration by the candidate

I hereby declare that all the particulars stated in the application are true to the best of my knowledge and belief. I have

read the information brochure and I shall abide by the terms and conditions therein.
Yes, I have read the brochure and I agree to sign the declaration.

Last saved : 2015, 02 Mar 16:23

Signature of the candidate (as uploaded)

Click to Print
If photo & signature do not appear clearly in their designated places, the application form may
not be accepted.

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Exit
State Bank
Collect

State Bank
MOPS

Pay
EPFO

You are here: State Bank Collect > State Bank Collect

State Bank Collect

Confirm NEFT Txn
Reprint Remittance Form
Payment History

02-Mar-2015 [04:20 PM IST]

State Bank Collect

Payment done successfully on -- : IST

Payment Details:
SBCollect Reference Number

DU12234642

Category

Male - General and Male - OBC

Application Number

15147249

Name of candidate

SHAILENDRA

Date of Birth

30/9/1997

Contact number

7351964188

Application Fee

700

Transaction Charge

INR 16.85

Total Amount

INR 716.85

Remarks
Click here to view/download the e-Receipt

Return to State Bank Collect Home Page

Copyright OnlineSBI

Privacy Statement | Disclosure | Terms of Use

NISER-NEST
NISER, INSTITUTE OF PHYSICS
CAMPUS,SACHIVALYA MARG, PO-

Date:

SAINIK SCHOOL, BHUBANESWAR, ,

BHUBANESWAR-751005
e-Receipt for State Bank Collect Payment
SBCollect Reference Number

DU12234642

Category

Male - General and Male - OBC

Application Number

15147249

Name of candidate

SHAILENDRA

Date of Birth

30/9/1997

Contact number

7351964188

Application Fee

700

Transaction charge

16.85

Total Amount (In Figures)

716.85

Total Amount (In Words)

Rupees Seven Hundred Sixteen and

Paise Eighty Five Only

Remarks

Notification1

E-receipt generated after successful

payment may be printed and retained for
future reference.

Notification2

Examination fee, once deposited, would

not be refunded.