BITOSA Mumbai

Name:*

Number of Attendees:*

No Of Child(ren):*

With Parent:*

Yes No

Email Id:*

City:*

Mobile No:*

Bus:*

Yes No

Bus From:*

Amount Payable (₹)* (?) Amount Payable (US$)* (?)

Mode of Transfer:*

Note:

Please transfer amount to following:
Account Name: BITOSA Mumbai Chapter, Bank: TJSB Cooperative Bank, Hiranandani Meadows, Thane, Account Type: Savings, IFSC Code: TJSB0000046, Account No: 046110100004678;

Note:

Please transfer amount to following:
Beneficiary Name: Asim Kumar Verma, Bank: ICICI Bank, Account Type: Savings, IFSC Code: ICIC0000020, Account No: 002001536732;

Note:

Payment can be made by Online Banking, using PayUmoney

Use your Debit or Credit card

or NetBanking to Pay.

Note:

Payment can be made by Online Banking, using PayPal

Use your International Debit or Credit card

to Pay.