{var-cartInfo}

 

SUPPLIER BANKS DETAILS
{var-supplier_account_information}

 

FILL PAYMENT DETAILS
{fld-offline_payment_mode class="form-control"}

{err-offline_payment_mode}

{fld-payment_ref_name class="form-control" placeholder="Account Holder Name"}

{err-payment_ref_name}


{fld-payment_ref_no class="form-control" placeholder="Payment Ref No/UTR No"}

{err-payment_ref_no}


{fld-payment_ref_date class="form-control" placeholder="Payment Ref Date"}

{err-payment_ref_date}


{fld-payment_ref_bank class="form-control" placeholder="Paid by Bank"}

{err-payment_ref_bank}

{fld-payment_ref_branch class="form-control" placeholder="Paid by Bank Branch"}

{err-payment_ref_branch}

Captcha Code :

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Generate OTP OTP send on Mobile No. {var-OTPMOBILENO}

{fld-otp class="form-control" placeholder="OTP"}

Resend OTP


{var-err_otp}

Amount to Pay : Rs. {var-cart_total}