Consumer Fastag
First Name
*
Last Name
*
Mobile Number
*
Must be
10
digits.
Currently Entered:
0
digits.
Email Address
*
Address 1
*
Address 2 (optional)
City
*
State
*
Pincode
*
Vehicle number
*
RC Book front (upload)
*
RC Book Back (upload)
*
Barcode ID
Deposit
*