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Payment Slip (Please attach this payment slip with your payment.)
Customer Name MOHIT HARSENA Cheque Number _____________________
Billing Account Number 114 229 300 Dated _____________________
Bill Number B1-5251005 Bank and Branch _____________________
Total Amount Due 1791.34 Amount _____________________
Crossed cheque / DD should be drawn locally in favour of Tikona Digital Networks Pvt Ltd. a/c. 114 229 300
Please do not staple the cheque to the payment slip.