Customer Name*

Customer Mail ID*

Business Name*

Total Package Amount
Mode of Payment
Cheque
Online
Cheque Name
Cheque No.
Bank Name
Cheque Date
On Date
PDC
NA
Online Transaction ID
Registration Date
Cheque Leaf or Online Transaction Screenshot*

BA Name*
BA Email*
BA Code*
BA Pan No.*
Comments

FOR DIGITAL VISITING CARD:
Thank you for registering with Digitech Solutions for NFC cards.
Kindly note,
NFC cards will reach your location within 21 working days from the date of registration..
No refund shall be given once registration is done.
Kindly call/WhatsApp 8341642002 for any queries in between 10AM TO 6PM.