Probus Insurance

POS Registration

Personal
Details
1. Personal Details
First name is required. First name should contain space and first letter of word must be capital.
First letter of middle name should be capital.
Last name is required. Last name should contain all letter of word must be capital.
Gender is required.
Date of birth is required.
Email address is required. Invalid email address. Invalid email address.
Mobile number is required. Mobile number should be 10 digits. Please enter valid mobile number.
Please enter valid office number.
Please enter valid residence number.
PAN card is required. Invalid PAN Card number. It should be in Format like {5 Alphabets}{4 Digits}{1 Alphabets}.
Aadhaarcard is required. Aadhaar No should be 12 digits.
Qualification is required.
POS registor for
General Insurance Life Insurance Both
2. Address Details
Address 1 is required. Address contains invalid characters.
Address 2 is required. Address contains invalid characters.
Address contains invalid characters.
State is required.
City is required.
Pincode is required. Pincode should be 6 digits. Only numbers are allowed.
3. Bank Details
Invalid IFSC Code.Sample: SBIN0123456
Upload
Documents
Upload PanCard

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Upload AadhaarCard

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Upload Qualification

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Upload Cheque

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Upload Profile Photo

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Review
Details

Personal Details

Name : {{PersonalInfo.FirstName}} {{PersonalInfo.MiddleName}} {{PersonalInfo.LastName}}
Gender : {{PersonalInfo.Gender}}
BirthDate : {{PersonalInfo.DateOfBirth | date : 'dd-MMM-yyyy'}}
Contact Number : {{PersonalInfo.MobileNo}}
Email Address : {{PersonalInfo.EmailId}}
Office Number: {{PersonalInfo.OfficeNo}}
Residence Number : {{PersonalInfo.ResidenceNo}}

Document Details

Pancard Number : {{PersonalInfo.RegistrationPancard}}
Aadhaarcard Number: {{PersonalInfo.AadhaarNo}}
Qualification: {{PersonalInfo.Qualification.Name}}

Address Details

Communication Address : {{AddressDetails.Address1 }} {{AddressDetails.Address2}} {{AddressDetails.Address3}}
City : {{AddressDetails.City.CityName}}
State : {{AddressDetails.State.StateName}}
Pincode : {{AddressDetails.Pincode}}

Upload Document Details

Pancard
View Pancard
Not Upload
Aadhaar Card
View Aadhaar Card
Not Upload
Qualification
View Qualification
Not Upload
Cheque
View Cheque
Not Upload
Photo
View Photo
Not Upload
Please select declaration to proceed.