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MALABAR CEMENTS GOLD COIN SCHEME

MALABAR CEMENTS GOLD COIN SCHEME

This Gold Coin Scheme is for the customers in Palakkad District Only. The customer who becomes the lucky winner of the day and the vendor who sells cement to the above customer will be given a half sovereign gold coin based on the draw conducted at our Head Office. The participants should enter the details of their invoice before 11 am on the next day to be eligible for the lucky draw.
CUSTOMER DETAILS
Taluk Name :
Customer Name * :
Customer Address :
Customer Mobile/Phone number :
ID Proof * : PANCARD ADHAR VOTER ID DRIVING LICENSE
ID Proof No * :
The reason for cement purchase :
PURCHASE INVOICE DETAILS
Seller Name * :
seller contact no :
Sellers TIN number * :
Invoice No * :
Invoice date * :    23-09-2017 16:19:56
Number of bags purchased :
Value in rupees :