HCL Bridge

All players who have won a Prize must submit the details in the form below for online transfer of prize money:

All the fields must be completed.
Indian players must upload an image of PAN and Cancelled cheque in the respective fields.
All losing pre quarter finalists and quarter finalist, must select appropriate rank from the drop down menu. Team members of one team must select the same rank.

Note: The prize money will be equally distributed between Team members of a team or two players in case of pair events. Accordingly, all members must submit their details.

Events:*

Rank Achieved*

Team/Pair Name:

Share of Prize:

Player ID:*

Player Name:*

Email id:*

Player Mobile:*

Country:*

PAN No:*

PAN card Image:*

Beneficiary Name:*

Bank Name:*

Branch:

IFSC Code / SWIFT / IBAN Code:*

Account No:*

Account Type:*

Cancelled cheque Image:*

Remarks:

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S. No.	Event	Rank	Player Name	Team/Pair Name	Share of Prize
1	Mixed IMP Pairs Strata II	2	Rajendra Sirohia 701556	SARIKA MITTAL AND RAJENDRA SIROHIA	50%
2	Mixed IMP Pairs Strata II	3	Bijal Shah 925407	Ranjan bose Bijal Shah	50%
3	Mixed IMP Pairs Strata II	5	Sejal Shah 925408	Bipul Roy Sejal Shah	50%
4	Mixed IMP Pairs Strata II	3	Ranjan Bose 707307	Bijal shah and Ranjan Bose	50%
5	Mixed IMP Pairs Strata II	5	Bipul Kumar Roy 705958	Sejal shah and Bipul Kumar Roy	50%
6	Mixed IMP Pairs Strata II	4	Shambhu Nath Ghosh 702866	Shambhu nath Ghosh Jesal Dariwala	50%
7	Mixed IMP Pairs Strata II	4	Jesal Dabriwala 401551	Shambhu Nath Ghosh - Jesal Dabriwala	50%
8	Mixed IMP Pairs Strata II	6	Rana Roy 703517	Rana Roy	50%
9	Mixed IMP Pairs Strata II	1	Usha Kabra 400902	Usha kabra Gopinath manna	50%
10	Mixed IMP Pairs Strata II	6	Bharati Dey 702052	Bharati Dey - Rana Roy	50%
11	Mixed IMP Pairs Strata II	2	Sarika Mittal 110609	Sarika Mittal - Rajendra Sirohia	50%