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PERSONAL INFORMATION

First Name* :

Last Name* :

Father's Name* :

Email Id* :

Mobile Number* :

Address :

PROPERTY INFORMATION

Project Name :

Tower No* :

Unit No* :

Size* :

Remarks :

Attachments ( BOQ, Fittings Sheet, Selections Etc) :

PAYMENT INFORMATION

On Account of* :


		Adjustment	Total
BOQ Amount	Rs.		Rs.0
GST Amount	Rs.		Rs.0
Grand Total			Rs.0

Payment Method* :

Pay online [ Debit Card, Credit Card, Net Banking, EMI etc... ]

Pay using Cheque / Demand Draft (DD)

Pay adding beneficiary

In favour of Valion E Assets Pvt Ltd

Cheque No:

Cheque Issue Date:

Bank Name:

Scan Copy:

[Max filesize: 2MB, File supported: jpg, jpeg, png, gif]

If you are depositing Cheque & Demand Draft(DD) then you have to send cheque/DD at the following Address:
Sanjay Sharma
c/o Valion E Assets Pvt. Ltd.,
Ground Floor, Plot no. 127, Sector 44,
Gurugram, Pin code 122002, Haryana
Phone : 01244907550

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