India Online Transfer FormMember’s ID Number:Member’s Name:Date of Application: Service Price Service Tax (10.3%)* Total Starter INR 5,625 INR 579 INR 6,204 Executive INR 11,250 INR 1,159 INR 12,409 Elite INR 33,750 INR 3,476 INR 37,226*Mandatory Indian Government Service Tax. IMPORTANT! 1) Please include both a detailed screenshot and line item screenshot of your online transfer. 2) When completing your online transfer, please include the Member ID number associated with the payment in the details of your online transfer. Talk Fusion India Private Limited Current Account Number: 31084586926 State Bank of India Central Market, Lajpat Nagar, New Delhi 110024 MICR Code: 110002016 IFS Code: SBIN0001276 Name of Bank Transferred from: Account Number Transferred from: Name on Account: Transaction ID: Details included in the online transfer: Please email this form along with screenshot of the online transfer once completed to “Payments@TalkFusionGlobal.com”.