NETC

FASTag Customer Registration

Incomplete application? CLICK HERE to complete your FASTag registration

Application No.:

Profile Details

Vehicle Details

Payment Details

Fields marked with * are mandatory.

Personal Information

First Name

Middle Name

Last Name

E-Mail

Mobile No.

Gender

Date of Birth

ID Proof Type

ID Proof No.

Upload ID Proof

Address Details

Address 1

Address 2

State

City

Pin Code

Vehicle Information

Vehicle Type	Vehicle Class	Action
	VC4 VC5 VC6 VC11 VC7 VC12 VC15 VC16

Invoice

Number Of Tags To be Issued :

Vehicle Type	On Boarding Fee	Security Deposit	Threshold Value	Sub Total
Calculated Value	0.00	0.00	0.00	0.00
Discount Value
Recharge Amount
Payable Amount

GST Details

GST Rate(%)

SGST

CGST

UTGST

IGST

Base Onboarding Fee	SGST	CGST	UTGST	IGST	Total Onboarding Fee	Total Security Fee	Total Threshold Fee	Reload	Grand Total
					0.00	0.00	0.00		0.00

I declare that I have read the Terms & Conditions of program and I agree that I accept the same. The information provided on the application is correct and true to the best of my knowledge and any misrepresentation of the facts will amount to termination of the membership.

Note : You will receive transactional alerts on registered Mobile Number.

VIN / Chassis No.	VRN	Vehicle Make	MVC Name	Mapper Vehicle Class	RC Book No.	Vehicle Category

Vehicle Class

VIN / Chasis No.	VRN	Vehicle Make	MVC Name	Mapper Vehicle Class	Action