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Upload Bank Details

 

                                                                                                

Note: Click Here to Download Consent Performa For Refund of Rs. 10000/- in the name of individual applicant
      Note: Please Fill all details carefully.If any query please contact on 01723520001

User_Id:	*
Name:
Father/Husband Name :
DOB:
Email :
Mobile:
Station :
Sector :
Reserved Catgory:	--Select Category-- BPL EWS *
Payment Type:	--Select Payment Type-- Debit Card Credit Card Net Banking *
Enter registered Applicant Account Holder name(Name in Bank passbook)	*
Enter Registered Applicant Account Number	*
Enter IFSC Code	*
Enter Branch Name	*
Upload Concent Performa	Maximum size allowed is 100 KB *
Upload Bank Statment Dec 2019 to March 2020 (Amount Deduct Rs. 10000 ):	Maximum size allowed Between 100 to 300 KB *
	I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.