POS- Signup

Call: 97167-20000

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Email: info@cover360.in

Email: pos@wibl.in

POS Signup

POS Account

Personal Details

Full Name* required

Father's Name required

Gender* required

Date Of Birth* required

Marital Status* required

Aadhar Number* required

PAN Number* required

GST Number required

Qualification required

Year Of Passing required

Profession required

Which Vehicle you have required

Permanent Address

Address* required

City* required

State* required

Pin Code* required

Mobile number* required

Email Id* required

Check If same as Permanent Address.

Current Address

Address* required

City* required

State* required

Pin Code required

Residence Type* required

Reference

Refered By*

required

Name* required

Mobile Number* required

Are you Working as POS / Agent anywhere else ?

Yes No required

Are you an employee of Worldwide Insurance Brokers Ltd. ?