Activate Warranty and Insurance Coverage

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)

Helmet Model *

Helmet Purchase Date *

Dealer Name *

Purchase Receipt/Invoice *

Please upload a clear photo of the purchase receipt/invoice

Identification Type *

Identification Number *

Upload Identification (Front) *

Upload Identification (Back) *

Nominee Name *

Nominee Relationship With Enrolled Person *

Upload Nominee NID (Front) *

Upload Nominee NID (Back) *

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