Cashback Claim Form ( NETROCK DEALS )
Kindly fill up this form only after you have completed purchase or registration at our partner site. We will verify your details and cashback details of amount will be given to your provided E-mail id in 24 hours .
Your Name *
Your answer
E-mail Id you have used to Register on our partner site *
Your answer
Mobile No. (Paytm Wallet) *
Captionless Image
Your answer
Enter store name *
ORDER ID ( If you have Enter here )
Your answer
Date of Purchase *
MM
/
DD
/
YYYY
Your Mobile Model ( Example:- Mi A2, Poco F1 etc. ) For Verifying Your Purchase.. *
Your answer
Sale Amount ( Net amount you have paid )
Your answer
Submit
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