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PoSP Registration Form
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All fields are mandatory
Personal Details
First Name
*
Last Name
*
Gender
*
Male
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Date of Birth
*
Communication Details
Mobile
*
Alternate Mobile
Email
*
Address
*
State
*
City
*
PIN Code
*
Aadhaar / PAN Details
Aadhaar No.
*
PAN
*
Education Details
Highest Qualification
*
Highest Qualification
10th
12th
Graduate
Post Graduate
Bank details
Bank Name
*
Bank Address
*
Account Number
*
IFSC Code
*
Supported Documents
(.png, .jpg, .jpeg) max file size 5 MB
Aadhaar Card Front Side
*
Clear
Aadhaar Card Back Side
*
Clear
PAN Card
*
Clear
Highest Qualification Cert.
*
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Cancelled Cheque
*
Clear
Profile Photo
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Others Details
Reference
Enter Reference Code
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Email
OTP Verify
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Mobile OTP
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OTP Verfiy
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Enter mobile otp
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Renewal
Previous Policy No.
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Registered Mobile No.
*
Verify Using OTP
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Also you can verify using Chassis No. OR Engine No.
Chassis No.
*
OR
Engine No.
*
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Product Type
Bike
Car
Commercial
Reg. No.
*
Chassis No.
*
Engine No.
*
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