| Every * | ||
| Max. No of Debits in a Calendar Month * | ||
| Start Date * | ||
| Until * | No of Times OR |
End Date
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| Browse to select the File Above* | |
| Transaction Ref. | ||
| Payer's Institution * | ||
| Commercial Bank * | ||
| Payer's Account Number * | ||
| Select Period * | ||
| Payer's Full Name * | ||
| Payers Email | ||
| Payers Phone | ||
| Employer Code* | ||
| Select Type of Transaction * | ||
| Select Type of Tax * | ||
| Name of Beneficiary * | ||
| Address | ||