Date of Payment

Amount

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Deposited inSelect Bank NameKotak Mahindra Bank A/c 7311402295HDFC Bank A/c 00492320003633ICICI Bank A/c 006701014713

Cheque Deposit/Courier

Bank Name

Cheque No.

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DD Deposit/Courier

Bank Name

DD No.

Deposited inSelect Bank NameKotak Mahindra Bank A/c 7311402295HDFC Bank A/c 00492320003633ICICI Bank A/c 006701014713Send Throw Courier

Prepaid

Order ID No.

Note: if you have already made the online payment, please mention your Order ID number which you have received in your email, after making the payment

NEFT / RTGS Payment

Name of Account Holder

Ref. Number of NEFT Transaction

Online Payment (Debit Card, Credit Card etc)

Name of Card Holder Name

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