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Membership Application Form
Contribution ₹2,51,000/- · Waiting period 2 years
1. Applicant2. Contact3. KYC4. Health5. Wellness6. Nominee7. Declarations8. Agreement9. Payment
Section A — Applicant Details
This Membership Application Form is an enrolment document and should be read together with the final Ramasukh Health Shield Membership Agreement and Programme Policy. “PREVENTION FIRST. HEALTHCARE ALWAYS.”