Bank Form Please Note – Amount Non-refundableDate DD slash MM slash YYYY Your Designation(Required) Assistant Retainer Junior Leader Retainer Senior Leader Full Name(Required) Mobile Number(Required) Portal Email ID(Required) Payment Amount Rs 171/- Only AcceptPayment Screenshot(Required) Drop files here or Select files Max. file size: 2 GB. Payment Transaction Number(Required) Payment Date(Required) DD slash MM slash YYYY Your Account Detail – Any One DetailBank Name Account Number IFSC Code Person Bank Name UPI ID Payment Bar CodeMax. file size: 2 GB.