REGEN E BIKE

PURCHASE FORM

Complete the form below to buy your REGEN E BIKE NOW.

PROVIDE PERSONAL INFORMATION AS PER AADHAR CARD OR GOVERNMENT APPROVED IDENTIFICATION

Personal Data Information For Purchase:

Full Name *
S/O,W/O,D/O *
Address *
Date of birth *
Email *
Driver's License * Yes No
Pan Card * Yes No
Number *

Kindly attach a copy of your Bank Passbook *
Attach the copy of following document Aadhar Card,Pan Card,Driving License *
Bike Model REGEN RANGE : 135kms. Base Cost : ₹1,34,990/- GST @ 5% : ₹6,750/- TOTAL : ₹1,41,740/- RANGE : 170kms. Base Cost : ₹1,52,990/- GST @ 5% : ₹7,650/- TOTAL : ₹1,60,640/-

Please NOTE : Extra Charges for R.T.O, Insurance and Transportation are applicable.

Relecto EV BankDetails For Payment

Account Name: RELECTO EV INDIA
Bank Name: H.D.F.C Bank, Tatibandh, Raipur, Chhattisgarh
Account Number: 50200042631446
IFSC Code: HDFC0003692