Name:
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Order Number:
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Your Bank (e.g: Maybank) :
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Payment through:
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Maybank2u
Maybank Cash Deposit
RHB Cash Deposit
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Amount transferred (RM) :
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Your actual grand total (RM) :
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Reference Number
(Write "CD" if you are using cash deposit machine) :
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Date (e.g: 28/08/2011) :
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Time (e.g: (9.30am) :
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Extra Note:
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