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What is type of Customer?
Individual
Organization
Organization Name
Organization Name is required.
Pincode
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Pincode should be 6 digits.
Only numbers are allowed.
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Industry Type
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Sub Industry Type
Sub Industry Type is required.
Policy Period
Policy Period
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Number of Skilled Workers
Number of Skilled Workers Required.
Please enter valid Number of Skilled Workers.
Number of skilled workers should be between 1 to 1000
Number of skilled workers should be between 1 to 1000
Salary (per month per worker)
Salary (per month per worker) Required.
Please enter Salary (per month per worker).
Minimum Skilled Wokers Salary Should be 1 digit.
Maximum Skilled Wokers Salary Should be 7 digit.
Number of Semi Skilled Workers
Number of Semi Skilled Workers Required.
Please enter valid Number of Semi Skilled Workers.
Number of Semi skilled workers should be between 1 to 1000
Number of Semi skilled workers should be between 1 to 1000
Salary (per month per worker)
Salary (per month per worker) Required.
Please enter Salary (per month per worker).
Minimum Semi Skilled Wokers Salary Should be 1 digit.
Maximum Semi Skilled Wokers Salary Should be 7 digit.
Number of UnSkilled Workers
Number of UnSkilled Workers Required.
Please enter valid Number of UnSkilled Workers.
Number of UnSkilled workers should be between 1 to 1000
Number of UnSkilled workers should be between 1 to 1000
Salary (per month per worker)
Salary (per month per worker) Required.
Please enter Salary (per month per worker).
Minimum UnSkilled Wokers Salary Should be 1 digit.
Maximum UnSkilled Wokers Salary Should be 7 digit.
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No Of Claim
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Claim Amount
Claim Amountis required.
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Minimum Claim Amount Should be 1 digit.
Maximum Claim Amount Should be 7 digit.
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