AAROGYA MONTHLY INCOME SCHEME- GP AAROGYA HEALTHCARE TECHNOLOGY PRIVATE LIMITED

Monthly Scheme Registration Form

Employee Name*

Employee Code*

Applicant Name*

Date Of Birth *

Email *

Mobile No.*

Investment Amount *

Tenure*

Address *

Pincode *

Nominee Name

Nominee Date Of Birth

Nominee Relation*

Bank Name

Account Holder Name

Account No.

IFSC Code

Upload Photo (JPG Format Only )*

Upload Aadhar Front (JPG Format Only )*

Upload PAN (JPG Format Only )

Bank Proof (JPG Format Only )

Upload Passbook/Cancel Cheque (JPG Format Only )

Upload Signature (JPG Format Only )

By clicking here, I confirm that I have read and understood all Terms and Conditions.