Securelifebala


New User Registration
General Details
Name
Father's Name
Date of Birth
Aadhaar No.
PAN No.
1. Mobile No.(Whatsapp)
2. Mobile No.
Email-id
Address Details
Shop Name
Street/Village
Post/Taluka/Area
District
State
PIN
Bank Details
Bank Account Name
Bank Account No.
IFSC
Attachments
Photo (Max. 500KB) Only JPEG files are allowed here.
Aadhaar (Max. 500KB) Only JPEG files are allowed here.
PAN (Max. 500) Only JPEG files are allowed here.