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Your Details
Please enter the First Name
Please enter your Last Name
Please enter a valid Email Address
Please enter the valid CNIC Number
Please select the City
Please enter the Address
Please enter the Mobile Number (+92_______)
Invalid OTP

An OTP shall be sent at this number.

Bike Details
Please select the option
Please enter Bike Registration Number
Please enter Bike Owner Name
Please select the Survey Date
Please select the Survey Time

Select Payment Method
  • Credit Card / Debit Card: Pay through any of your local or international credit or debit card.

  • Pay through Credit Card, Debit Card, JazzCash Wallet Account or Voucher payment.

  • Pay through your Easypaisa Mobile Account registered with any mobile network to our Easypaisa
    Account# 0315 4061947 (Faisal Saleem)

  • Note: Please email us the scanned copy/picture of the deposit slip or online transfer receipt to our [email protected] After confirmation, we will send your health insurance policy through to email within 30 minutes after making payment.

Your Details
  • Customer Name  
  • CNIC
  • Mobile Number
  • Email Address
  • Address , 
Bike Details
  • Bike Already Registered?
  • Bike Registration Number
  • Bike Owner Name
  • Requested Survey Date
  • Requested Survey Time

  • Premium Breakdown
    Annual Premium: PKR 0
    Total Amount: PKR 0

Just 2 minutes to submit your request
1
Your Details
Step 1/3
Edit
  • Customer Name:  
  • CNIC:
  • Mobile Number:
  • Email Address:
  • Address: , 
Please enter the First Name
Please enter your Last Name
Please enter the Mobile Number (+92_______)
Invalid OTP
Please enter a valid Email Address
Please enter the valid CNIC Number
Please select the City
Please enter the Address
2
Bike Details
Step 2/3
Edit
  • Bike Already Registered?:
  • Bike Registration Number: N/A
  • Bike Owner Name: N/A
  • Requested Survey Date: N/A
  • Requested Survey Time: N/A
Please select the option
Please enter Bike Registration Number
Please enter Bike Owner Name
Please select the Survey Date
Please select the Survey Time


3
Select Payment Method
Step 3/3
Edit
  • Payment Method:
  • Credit Card / Debit Card: Pay through any of your local or international credit or debit card.

  • Pay through Credit Card, Debit Card, JazzCash Wallet Account or Voucher payment.

  • Pay through your Easypaisa Mobile Account registered with any mobile network to our Easypaisa
    Account# 0315 4061947 (Faisal Saleem)

  • Note: Please email us the scanned copy/picture of the deposit slip or online transfer receipt to our [email protected] After confirmation, we will send your health insurance policy through to email within 30 minutes after making payment.

  • Premium Breakdown
    Annual Premium: PKR 0
    Total Amount: PKR 0


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