Please enable JavaScript in your browser to complete this form.Customer DetailsSENDER *Date / TimeDateTimePurchase Description or Reason *Kindly Provide the description of the Purchase.Product *Give the name of the purchased product.(eg Refreshment, Network Renewal)Amount *Kindly give the accurate AmountQuantityProvided Quantity if available.Beneficiary's Name *Beneficiary's BankBeneficiary's AccountYou can Skip if its cash at hand but specify in description above.Special CommentKindly Provide any special comment or summary if available.Confirmation *I acknowledged that upon submitting this form, I received copy of the Transaction from the NS or Finance department and all data entered are confirmed. Submit
3m
870k
1m