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Register Yourself

Additional Information               

Fill the form below and get access to buy policies online. Registration is simple and free. You need not pay anything now, whenever you want to buy to policy then select an Insurer, select a policy, calculate premium, Pay the premium and get the policy printed on your PC.

Why Register?

If you want to buy Insurance Policies from Insurance Companies online, then you have register with us. You will be able to purchase policies online once you are the member of NewQuest.in.

 

Who can Register?
Anybody who is above 18 Year of age.
 

Is there any fee for registration?
No! Registration is free.
 

When I Have to Pay to buy policies online?
Once you are a member of newquest.in. You can select products from the list which are available for online sale. Then after filling all required informations you have to calculate the premium. Then you have to pay the premium amoun.
 
 
* Indicates Mandatory Fields -
Registration Information
  User Name *  
  Password
*
 
  Confirm Password *  
Personal Information
  Name *  
  Date of Birth - - *
  Sex *  
  Marital Status *  
  No. of Children  
Address for Correspondance
  Street 1 *  
  Street 2  
  Street 3  
  City/District *  
  State *  
  PIN  
  Country  
Communication Informations
  Phone - - *  
  Mobile  
  Fax  
  E-Mail *  
URL
Remark
Occupation Information
  Occupation *  
  Company Name  
  If Business Then App. Turn Over (INR)  
Home Details
  Ownership  
  Do you have home Insurance?  
  if Yes, month of renewal  
       
     
   
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