PCO-BigRock Shopping Details
PCO=PhysBoy Cashback Offer
Profit = Cashback
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Email *
Full Name *
Mobile Number / WhatsApp *
Date of Shopping/Order? *
MM
/
DD
/
YYYY
Total Number of Items Ordered *
Total Price (INR) Paid On BigRock *
Add Total Ordered Amount
In Which Method You Want To Receive Your Profit? *
Name of The Bank Account Holder *
Mobile Number / UPI
Re-enter Mobile Number / UPI
Bank Account Number
Add A/C Number If You Don't Have Google Pay / Phone Pe.
Re-enter Bank Account Number
Add A/C Number If You Don't Have Google Pay / Phone Pe.
IFSC Code
Add A/C Number If You Don't Have Google Pay / Phone Pe.
Branch Name
Add A/C Number If You Don't Have Google Pay / Phone Pe.
Item 1: Put The Link or The Name Of The Item. *
Item 2: (*Ignore, If You Have Ordered Fewer Items.)
Item 3: (*Ignore, If You Have Ordered Fewer Items.)
Item 4: (*Ignore, If You Have Ordered Fewer Items.)
Item 5: (*Ignore, If You Have Ordered Fewer Items.)
Item 6: (*Ignore, If You Have Ordered Fewer Items.)
Item 7: (*Ignore, If You Have Ordered Fewer Items.)
Item 8: (*Ignore, If You Have Ordered Fewer Items.)
Item 9: (*Ignore, If You Have Ordered Fewer Items.)
Item 10: (*Ignore, If You Have Ordered Fewer Items.) *If You Have Purchased More Items Then, Please Submit The Same FORM Once Again.
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