UCO BANK

Receiver Amrapali Investments,Funding and Banks Loan Account

Bank Name*

Please Enter Bank Name

Branch Name*

Please Enter Branch Name

Project Name*

Specify Other Project
(if not in drop down above)

Tower No/Name*

Specify Other Tower
(if not in drop down above)

Flat/Unit Number*

Please Enter Flat/Unit Number

Registration/Application No(Builder Buyers Agreement/Flat Buyers Agreement No)*

Please Enter Reg./Appl. No.

Buyer's Name/First Party*

Please Enter First Buyer's Name Please Enter Valid Name

Father's/Husband Name *

Please Enter Father's/Husband Name Please Enter Valid Name

Buyer's Name/Second Party

Please Enter Valid Name

Father's/Husband Name

Please Enter Valid Name

Loan Sanctioned Amount*

Please Enter Sanctioned Amount Pl. Enter valid amount

Disbursed Till Date*

Please Enter Amount Disbursed Till Date

Payment Category*

Now Being Disbursed*

Please Enter Amount Being Disbursed Now Pl. Enter valid amount

Service Tax @3.75%

Total Amount Being Paid Now

Mobile Number*

Pl. Enter Mobile No Pl. Enter Valid Mob No

Please Enter Valid Email

* marked fields are mandatory.

Kindly fill-in all the details very carefully and check all the entered details before clicking on submit and keep the record of it for future reference. Bank is not liable for any mistake at user end.

If You have UCO Bank DEBIT Card/E-Banking, Please Select UCO Bank Payment Gateway, Charges will be Rs.8/- only.