User Informations
Sponsor Details
*
Sponcer ID :
This field is requried
*
Sponsor Name :
Personal Details
*
Name :
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This field is required
*
Phone No :
Send OTP
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This field is required and must be exactly 10 digits long.
*
Enter OTP:
Address Details
*
Address :
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This field is requried
Nominee Details
*
Full Name :
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This field is required and must only contain letters and spaces.
*
Relation With Applicant :
Select Relation
Mother
Father
Wife
Husband
Brother
Sister
Son
Daughter
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This field is requried
Product Details
*
Select Product
GOLD (Worth of Rs. 15,000/-) - 12 Months * ₹1,000.00
Gift Voucher (Worth of Rs.15000/-) - 12 Months * ₹1,000.00
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Enter MPIN to activate
*
This field is requried
