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Jipmer — mbbs fees deduction and form not complete

Address:274502
Website:cdn.digialm.com/EForms/configuredHtml/827/55374/login.html

Jipmer mbbs fees deduct and form not accecpt details below

bank : pnb
branch :lar
payment date: 21/03/2018
payment deduct: 1513
payment id: citruspa/[protected]/[protected]/
please contract me [protected]
email id : [protected]@gmail.Com
plz refund my payment and also contract my number
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