DRIVE AGAINST CANCER Individual Player Registration

Sal*

First Name*

Last Name*

Company Name*

Designation*

Mobile Number*

Email*

Handicap*

Handicap Index*

Home Club*

Club Membership No.*

City*

PAN*

Please transfer the entry fee to the below account and enter your transaction reference number along with payment screenshot.

Account Name: Indian Cancer Society

A/C No: 04671110000068

Address: A-24, Hauz Khas, New Delhi 110016

Bank: HDFC Bank Ltd

IFSC Code: HDFC0000467

MICR Code: 110240071

Transaction Ref No. / UTR*

Upload Payment Screenshot / Receipt*

Optional if you've entered a Transaction Ref / UTR above.

Thank You!