Money Receipt

Category*

Please select a one.

Upload CID photo of Primary* Image Preview

Please Upload Primary CID Photo.

Name*

Please Enter Primary Name.

Primary CID*

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Phone No*

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Dzongkhag*

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Gewog*

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Introducer CID* If no introducer use your own details

Please enter Introducer CID.

Introducer Name*

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Introducer Phone*

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Create Password*

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Confirm Password*

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