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Payment Proof Submission
Company Name
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Person-in-Charge
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Email Address
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Contact Number
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Invoice No
Payment Details
Payment Method
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Bank-in-Slip (Cheque / Cash Deposit)
JomPAY
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Standing Instruction
Remittance
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Others (please specify)
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Amount
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Bank-in-Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2019
2020
2021
2022
2023
2024
Attachment
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Files must be less than
4 MB
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Allowed file types:
gif jpg jpeg png bmp pdf doc docx xls xlsx zip
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