Tatvik Biosystems Pvt Ltd.

TMF20 S/N:

Customer Name : *

Mobile No : *

Email : *

Full Address :

Pin :

State :

Renewal Cost

AMC Cost

Note : Please select , If AMC Required

Select

No. of Year(s)

License Fee

18% GST

Total Fee-INR

Select

No. of Year(s)

AMC Fee

18% GST

Total Fee-INR

250

295

200

236

Total Amount:* Rs 531 ( Including at 18% GST )

I do hereby declare that all the above information furnished by me are of mine, true and correct to the best of my knowledge.