UCO BANK

UCO SmartPay
Admin Module Honours Your Trust

Unique Code No.*

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Please refer to your merit list for Unique code No

Form No.*

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Please refer to your merit list for Form No.

Gender*

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Surname*

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Name*

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Religion*

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Minority (Optional)

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Address*

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PIN-

Father's Name

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Mother's Name

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Date of Birth*

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Category*

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Type *

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Type of Course *

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Course *

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Subject *

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Amount (in Rs.)*

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Mobile No.*

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SMS will be sent to this Mobile No for Successful Payment.

Email *

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Payment Receipt will be sent on this E-Mail ID.

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