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NAME OF CUSTOMER/
Sl No: DATE OF CLOSING RECIPT NO: MALE/ FEMALE
GROUP
CONTACT NO
PREFERRED TO START
ADDRESS
FRANCHISE AT
MOBILE LAND LINE
AMOUNT DETAILS
MODE OF
E-MAIL
PAYMENT
CASH CHEQUE/ DD
CHEQUE/ DD LOCATION OF NEAREST UROGULF'S
DETAILS FRANCHISE BRANCH
SERVICES OPTED
RELATIONSHIP WITH
DETAILS OF NOMINEE A/C NO: TAKEN FROM FRANCHISEE
THE FRANCHISEE
FOR FULL CASH
A/C NO: GIVEN TO FRANCHISE AMOUNT
HANDED OVER TO
OR FULL CASH EXECUTIVE WHO
BANK DETAILS OF ATTENDED THE BRANCH LEAD GENERATED BY
CUSTOMER
AMOUNT TRANSFER:
DOCUMENTS RECEIVED
CUSTOMER NOMINEE
2 PHOTOS 2 PHOTOS
ID (Copy) ID (Copy)
Urogulf Infrastructure Pvt Ltd, HDFC BANK, Iyyattilmukku, :15102320000060
CHEQUE
YES
NO
Male
Female
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