Payment Remittance

If you have Remitted the payment through NEFT / RTGS / Cheque / DD / Direct Cash Deposite in bank A/C, then submit the details below:-

Name/Organization: *

Contact Person: *

E-mail : *

Phone / Mobile No : *

Postal Address: *

Remitted Amount *

Amount *

Payment Remitted for: *

Describe Others *

Mode of Payment: *

Payment Description: *

If you have Remitted the payment through NEFT / RTGS / Cheque / DD / Direct Cash Deposite in bank A/C, then submit the details below:-

Attach Document (if any): *

Attach 2nd Document (if any): *

Attach 3rd Document (if any): *

Verification Text *

Type Here : *

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