Yes I wish to make payment for the following as under :-
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Payment For
Amount
Ref No. (If Any)
Remarks
       
Guesthouse Room Booking
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Personal Information
Please fill in the fields marked ' * ' . These are mandatory fields if you want us to send you a Payment receipt.
 
First Name * :
 
Last Name * :
 
Address1 * :
 
Address2 * :
 
City * :
 
Pin Code * :
 
State * :
 
Country * :
 
Tel No :
       
Email * :
Select Mode of Payment * :
Security Image * :
 
 
 
Payment Receipt Shall be sent to you.

(We do not accept Anonymous Payments, hence we request you to fill in all your details, so that a receipt can be sent to you. We apologise for any inconvenience caused to you.)


Please Note we have recorded your IP address : -172.68.65.93, this is to prevent anyone from making a frivolous Transaction.