O N L I N E P A Y M E N T C O N F I R M A T I O N

CIBIL Registration ID : Transaction ID :

S0811003467 21471524

Date :

10-08-2011 11:09 PM

T r a n s a c ti o n I n f o r m a ti o n : Personal Information :

First Name : Date of Birth : Address : City/District : Mobile :

PRITAM 09-02-1982

Middle Name : Gender :

Male

Last Name :

BANERJEE

P-36 KALINDI HOUSING ESTATE KOLKATA 9830982134 State : Telephone : West Bengal Pin : Email ID : 700089 pritam.dbf@gmail.com

Product (Applied) :

Product Names :

CIBIL TransUnion Score (Including CIR) (Rs 450/-)

Self Attested Documents Attached (Mandatory) :

Identity Proof : PAN Card (Recommended) Number : AKKPB9983B

Address Proof : Bank Statement

Print the CIR Request Form (On-Line Payment Confirmation) and mail it along with your Identity and Address proofs to any one of our below mentioned addresses

Address for sending via Speed Post / Regular Post (Kindly affix the required postage) :
PO Box 421, Wagle Industrial Estate P.O, Thane 400 604.

Address for sending via Courier / Registered Post :

Consumer Relations Disclosure Request, Credit Information Bureau (India) Limited, Hoechst House, 6th Floor, 193, Backbay Reclamation, Nariman Point, Mumbai 400 021.

Regd Office : Hoechst House, 6th Floor, 193 Backbay Reclamation, Nariman Point, Mumbai 400 021, India.
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