Online POS Transaction

Fields marked * are mandatory
 
* Date of Transaction :
* Account Number :
* Customer Name :
 
* Original transaction amount (Rs.) :
* Disputed Amount (Rs.):
* Transaction particular as printed in passbook
* Transaction Type :
* Description :
* Merchant Details :
* Remarks – reason for failure :
* Customer contact number :
  Email Address:
* Type the code as shown :

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