DAC - Two - Player Registration form

Qutab Golf Course

Shotgun Time: 12:30 PM
Player 1#
Salutation
Full Name

First NameLast Name
Company Name
Designation
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
E - mail
example@example.com
Handicap
Handicap Index
Home Club
City
Player 2#
Full Name

First NameLast Name
Company Name
Designation
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Handicap
Handicap Index
Home Club
City
Donation Amount
Please attach the screenshot of the payment.

Cancelof
—– BANK DETAILS —–
Name : INDIAN CANCER SOCIETY

BANK NAME : HDFC BANK LTD

Address: A-24, HAUZ KHAS, NEW DELHI 110016

Account No.: 04671110000068

RTGS/NEFT CODE (IFSC) : HDFC0000467

MICR CODE: 110240071
Should be Empty: