Professional Documents
Culture Documents
Tel:
Contact:
email id:
Account No.
Previous Balance
Payments received
Other Adjustments
BILL
ACCOUNT NO.
DEVICE
TARIFF PLAN
BILL NO
BILL DATE
Remittance Slip
ACCOUNT NO.
( To be filled by Customer )
AMOUNT TO BE PAID (Rs.)
BILL NO.
BILL DATE
PAYMENT DETAILS
MODE OF PAYMENT
NAME OF BANK
Cash/ Cheque/ DD
Regd. Off.: Rahejas 4th Floor, Corner of Main Avenue & V.P.Road,Santacruz (West),Mumbai 400 054.
INSTRUMENT NUMBER
DATE
AMOUNT (Rs.)