DAC - Two - Player Registration form

Player 1#

Salutation*

Full Name*

First NameLast Name

Company Name *

Designation*

Contact Number *

Please enter a valid phone number.

E - mail

example@example.com

Home Club*

Club Membership No. *

City*

PAN*

Player 2#

Full Name*

First NameLast Name

Company Name*

Designation*

Mobile Number*

Please enter a valid phone number.

Email*

example@example.com

Handicap *

Handicap Index*

Home Club*

Club Membership No*

City *

PAN*

Donation Amount*

Transaction Ref No.*

Note:- Please Make a Payment Using UPI or NEFT and please mention the transaction id above. We Will Match the transaction ID With our bank record and send you confirmation

Name : INDIAN CANCER SOCIETY *
BANK NAME : HDFC BANK LTD
Account No. : 04671110000068
RTGS/NEFT CODE (IFSC) : HDFC0000467
Address : A-24, HAUZ KHAS, NEW DELHI 110016
MICR CODE: 110240071