Customer Details:PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameLast NameWard NoVillage/ TownCity / Town / VillageDistrictPostal CodePhone 1Phone 2Email AddressService Order NumberProduct DetailsModel NameSerial NumberDate of PurchaseKCC TypeHOOD KCC2 - 1450/- [1Major service , 1 Normal service for HOOD]HOOD KCC3 - 1750/- [1Major service , 1 Normal service for HOOD]HOB HKCC3 - 1450/- [3 Services for HOB Cooktop Only]Please Tick On Selected Plan & Pay Only Printed Charges. Do Not Pay Over Printed Charges.Payment SectionMode Of PaymentCashUPIBank TransferChequePayment DetailsBank NameAmountPayment DateDeclarationThis KCC will be Null and Void if the Cheque bounces for any reason and charges for Cleaning/ Services given under this KCC and bank cheque bounce charges will be applicable to customer.KCC Start DateKCC END Date*Post Dated Contract Shall Be InvalidConsent *Yes, I agree with the privacy policy and terms and conditions.of Homez Cleaning Contract mentioned over the link. Service TechnicianPravash MahatoOnkar MahatoBablu MahatoRakesh MahatoService Franchisee NameHomezOption 2Customer NameSend Message to Service Centre