Payment Information Form Please confirm that you have filled up the Step 1 form (Personal Information Form) *Yes I have filled the Step 1 formClick in the above box if you have filled and submitted the Step 1 form (Personal Information Form)Please confirm that you have payment proof file and payment reference number. *Yes I have.The payment proof file and payment reference number will required below.Name Title *SelectDr.Dr. Md.Mr.Mrs.Ms.Full Name *Name of College *Name of Department *Mobile Number *Please type the same mobile number as in Step 1 form0 / 10Email Address *Please enter same email as in Step 1 formUpload supporting file as proof of your payment (e.g. - Screenshot or Photo) *Choose FileNo file chosenDelete uploaded fileProof of Payment – Screenshot, Photo of Payment SlipPayment Method *Net BankingDeposited in BankBy Bank Transfer option in Google PayOther methodType other Payment Method you used to pay *Date of Payment *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926Submit your payment information