MOTOR VEHICLE SALVAGE DISPOSAL CODE

INSURER SECTOR COMPANIES REGISTRATION FORM

To be filled by authorised officials of organisations


 


NAME OF INSURANCE COMPANY

 

: Choose your company or contact info@isalvageauction.com
 

EMAIL ID

: complete mail Id like abc@newindia.co.in
 

(YOU WILL USE THIS ID TO UPLOAD SALVAGE)

     
 

ENTER YOUR EMAILID VALIDATION NUMBER

:  
 

IF YOU DO NOT HAVE VALIDAION NO. CLICK BELOW TO GET IT MAILED TO YOU AT THE EMAILID

 

OFFICE PREMISES ADDRESS :-

  Proceed further after entring validation number  
 

HO / RO / DO / BO

: R/O, Div Office or BO
 

NAME OF PREMISES / BUILDING

:  
 

ROAD / STREET / LANE / POST OFFICE  

:  
 

AREA / LOCALITY / SUB-DIVISION

:  
 

TOWN / CITY

:  
 

DISTRICT

:  
 

STATE / UT  

:  
 

PIN No.

:  
 

PHONE No.(I)

:  
 

PHONE No.(II)

:  
         

CONTACT PERSON :-

     
 

NAME-

: To whom the buyer may contact in case of any inquiry

 

 

DESIGNATION

:  
 

PHONE No.

:  
 

MOBILE No.

:  
 

EMAIL ID

:  
 

OFFICIAL BANKERS

: Bank Details to enable NEFT
 

BANK ACCOUNT NO.

: Transfer of Earnest money
 

BANK IFS CODE

: in case you do not want to share the same you can enter undisclosed. For such case cheque will be issued and sent by courier/spped post

 

 

UPLOADED BY :-

     
 

NAME

:  
 

DESIGNATION

:  
 

PHONE No.

:  
 

MOBILE No.

:  
 

EMAIL ID

:  
 

CREATE YOUR PASSWORD(use it for login)

: Choose new password for
 

PLEASE RE-ENTER YOUR PASSWORD

: use in this site and not your official ID

 


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