Samtech Computers

New Branch Sign UP Form

1. Branch Detail

Branch Name*

Director Name *

Username *

Email ID*

Contact No*

Alternate Contact No

Locality*

State

City*

Pincode*

Photo*

2.Deposit Amount Detail (Application Fee + Approval Fee)

Bank Name

Deposite Slip

Deposite Date

Amount

3. Institute/Institute Head/ Institute Contact Person Account Details :*

Account Number

Bank Name

Branch Name

IFSC Code

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