Online Registration Form

Date of Payment

Amount

Upload Bank Pay-in Slip

Deposited inSelect Bank NameBank of India A/c 2040 2011 0000029Kotak Mahindra Bank A/c 7311120199HDFC 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 7311120199HDFC 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 7311120199HDFC 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

(To proceed for online payment, click on the Register button.)

Remark

I agree to theTerms & Conditions