State Bank Collect

SB Collect

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NAME *

DEPARTMENT *

COURSE *

SPECIALIZATION *

KTU ID *

MOBILE NO *

EMAIL ID *

No. of Extra person *

Total Non-Veg nos. *

Total Veg nos. *

REGISTRATION FEE *

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Individual

Organisation / Corporate

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Date of Birth * :

Mobile No * :

On successful completion of payment,you will receive the transaction reference number on this mobile number

Email ID :

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Your Name * :

Organisation Name * :

Date of Incorporation * :

Mobile No * :

On successful completion of payment,you will receive the transaction reference number on this mobile number

Email Id :

On successful completion of payment, you will receive the transaction reference number on this email ID

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