### Card Capture Transaction Request

Merchant Id |  | Transaction Remark |  | Order No. |
Txn Amt |  | Txn Currency |  | Txn Type (S/P/R) |
Recurring Period |  | Recurring Day |  | No Of Recurring |
Card No. |  | Expiry Date |  | CVV |
Name On Card |  | Pay Type Code (CC/DC) |  | Add Field 1 |
Add Field 2 |  | Add Field 3 |  | Add Field 4 |
Add Field 5 |  | Add Field 6 |  | Add Field 7 |
Add Field 8 |  | Response URL |  | Encryption Key |