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Subscription Plan 2
Subscription Plan 2
₹
3,000.00
/ 6-Months
Step
1
of
4
- Driver Details
25%
Name
(Required)
First
Gender
(Required)
Male
Female
Date of Birth
(Required)
DD slash MM slash YYYY
Phone
(Required)
Email
(Required)
Enter Aadhar Number
(Required)
AINHDU Member ID Number
(Required)
Upload Aadhar Front & Back Photo
(Required)
Drop files here or
Select files
Max. file size: 2 MB, Max. files: 2.
Nominee Name
(Required)
Nominee Phone Number
(Required)
Nominee Date of Birth
(Required)
DD slash MM slash YYYY
Upload Photo Along With Family Members Included In Insurance
Drop files here or
Select files
Max. file size: 2 MB.
Enter Children's Details
Child 1 Details
Name
Age
Gender (Male/Female)
Child 2 Details
Child 2 Details
Name
Age
Gender (Male/Female)
This field is hidden when viewing the form
Child 3 Details
Name
Age
Gender (Male/Female)
This field is hidden when viewing the form
Child 4 Details
Name
Age
Gender (Male/Female)
This field is hidden when viewing the form
Child 5 Details
Name
Age
Gender (Male/Female)
This field is hidden when viewing the form
Child 6 Details
Name
Age
Gender (Male/Female)
This field is hidden when viewing the form
Child 7 Details
Name
Age
Gender (Male/Female)
Do you have more than 4 children inform us
(Required)
We will support you individually
Yes
No
Uniform Color
(Required)
White Uniform
Kaki Uniform
Uniform Shirt Size
(Required)
28
30
32
34
36
38
40
42
44
48
Uniform Pant Size
(Required)
28
30
32
34
36
38
40
42
44
48
Subscription Plan 2 quantity
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