Aegis Helmets Warranty & Insurance Activation

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For more details regarding this insurance policy, please click here {Please read the Warranty Policy here.}

Full Name (as per NID/Passport/Birth Certificate) *

Date of Birth *

Mobile *

Email (optional)

Shop Name *

Helmet Purchase Date *

Helmet Model *

Purchase Invoice/Receipt/Cash Memo *

Please upload a photo of the helmet purchase invoice/receipt/cash memo

{Please read the Warranty Policy here.}

Remarks (optional)

By clicking submit I am agreeing to the Terms of Service and insurance policy specific conditions .