Reference No*

Sub Merchant Id*

Pgamount*

Tender Notice No*

Name Of Work*

Tender Fee 1*

Tender Fee 2*

Mdrisl Fee 1*

Mdrisl Fee 2*

Deposit Amount*

Applicant Name*

Applicant Address*

Mobile No*

Total Amount*

Applicant Bank Account*

Applicant Ifsc Code*

Applicant Bank Name*