E-Paper Application Form - DOC by aya20861

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									                   E-Paper Application Form


Name:

Address:


Phone/Mobile No:

E-paper:
(Please specify Hindu /Business Line. If you need both services
please specify both)

Username:
(Valid email ID to be provided)

Password:
(The password field must be 8 chars in length)
(This is exclusively to access e-paper and not your email account.
If you do not specify any password we will provide default
password and later you can change the password after
login into e-paper)

Country:

Age:

Sex:

Subscription type:
(Monthly, Quarterly, Half yearly and Yearly)

 (if DD please specify DD No and Date) (To activate your
account)
Using Internet Banking facility:

Your Name:

Name of the Bank:

Account No:

Amount in RS:

Beneficiary Name :     Kasturi and Sons Limited


Hindu Account No:      000951000048

Date of transaction:

								
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