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POS REGISTRATION
Mobile No
*
Mobile number is required.
Mobile number should be 10 digits.
Please enter valid mobile number.
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Upload PanCard
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Please upload pancard.
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Male
Female
First Name
*
First name is required.
First name should contain space and first letter of word must be capital.
Middle Name
First letter of middle name should be capital.
Last Name
*
Last name is required.
Last name should contain all letter of word must be capital.
Date Of Birth
*
Date of birth is required.
Pancard No
*
Pan card is required.
Please enter valid Pan because 4th letter P is getting accepted for pan only. It should be in Format like {5 Alphabets}{4 Digits}{1 Alphabets}.
Email Id
*
Email address is required.
Invalid email address.
Invalid email address.
Pincode
*
Pincode is required.
Pincode should be 6 digits.
Only numbers are allowed.
Select State
State is required.
Select City
City is required.
POS Register For
Life Insurance
Non-life Insurance
Both Insurance
