Date of Payment

Amount

Upload Bank Pay-in Slip

Deposited inSelect Bank NameBank of India A/c 2040 2011 0000029Kotak Mahindra Bank A/c 7311402295HDFC Bank A/c 00492320003633ICICI Bank A/c 006701014713

Cheque Deposit/Courier

Bank Name

Cheque No.

Deposited in Select Bank NameBank of India A/c 2040 2011 0000029Kotak Mahindra Bank A/c 7311402295HDFC Bank A/c 00492320003633ICICI Bank A/c 006701014713Send Throw Courier

DD Deposit/Courier

Bank Name

DD No.

Deposited inSelect Bank NameBank of India A/c 2040 2011 0000029Kotak Mahindra Bank A/c 7311402295HDFC Bank A/c 00492320003633ICICI Bank A/c 006701014713Send Throw Courier

Prepaid

Order ID No.

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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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