Payment Confirmation

1Details Transfered

2Entry Preview

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Invoice Number *

Invoice number can be seen in the invoice email that we sent earlier.

Package *

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Full Name *

Email Address *

Mobile Phone Number *

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Transfer/Payment Date *

Destination Bank *

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Origin Bank *

Name of Sender / Account Owner *

Transferred Amount *

File Upload *

Click or drag a file to this area to upload.

2MB, format .png, .jpg, .pdf

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Note

Signature

Any type of signed form sent via email has the same legal condition with the original document

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