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Update Member Details - 20240129
Personal Information
Member ID
Applicant Name
Co Applicant Name
Email
Contact Number
Alternative Contact Number
Id Proof
Aadhar No.
Pan No.
Voter Id
PassPort No.
Id Proof Number
Date Of Enrolment
Address With Pin Code
A-601 signature 99 NR jk hospital Kolar Road Bhopal 462042 M P
Member Types
Package Nights
4 Nights
6 Nights
Package Nights
Package Days
5 Days
7 Days
Package Days
Package Type
-Please Select A Option-
Basis
Prime
Premium
Elite
Diamond
Package Year
Package Start Year
Package End Year
ASF
7999 + 18%
12000
Membership Price
₹ 31,000
₹ 51,000
₹ 80,000
₹ 1,51,000
₹ 4,00,000
Amount Paid
Amount Due
Balance due
Special Offer
Payment Details
Payment Mode
Cash
Online Transfer
Cheque
Debit Card
UPI
Credit Card
TRX ID / Cheque No
Number of EMI
N.A.
6
12
18
24
Remarks
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