Old Gold Form | GEHNABOX

Old Gold Purchase Form

Date Customer Name* Mobile* Address* ID Proof Type* ID Proof Number*

ID Proof Image

Old Gold Image

Upload/Capture ID Proof Image* Upload/Capture Old Gold Image*

Gold Gross Weight (g)* Payment Mode* Amount Paid (₹)*

Customer Signature (draw):*

Staff Signature (draw):*

I confirm that the attached identity proof is valid and belongs to me.

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