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2606:4700:3032::6815:4bf7  Public Scan

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Submitted URL: http://online-fastag.org/
Effective URL: https://online-fastag.org/
Submission: On September 07 via api from PH

Form analysis 1 forms found in the DOM

POST personal-vehicle

<form role="form" action="personal-vehicle" method="POST" enctype="multipart/form-data">
  <div class="col-md-1">
  </div>
  <div class="col-md-7 box-shadow-form bradius-5px" style="margin-top: 3%;">
    <div class=" ">
      <div class="row">
        <div class="col-md-12">
          <div class="col-md-12 text-center text-white">
            <h3><b>FASTAG APPLICATION FORM </b></h3>
          </div>
        </div>
        <div class="col-md-12 ">
          <div class="col-md-12  ">
            <div class="row bg-gray">
              <div class="col-md-12 bg-color-logogray ">
                <h5 class="mb-0 text-white uppercase"><span class="circle-num" style="background-color:darkblue;">1</span><b> Vehicle Registrations Details </b></h5>
              </div>
              <div class="col-md-12 row mt-10px">
                <div class="form-group col-md-6">
                  <label class="input-label">Vehicle Registrations No</label>
                  <input type="text" class="form-control" placeholder="Vehicle Registrations No" value="" id="vehicle_registrations_no" name="vehicle_registrations_no" required="true">
                </div>
                <div class="form-group col-md-6">
                  <label class="input-label">Select Vehicle Types: / वाहनों के प्रकार</label>
                  <select class="form-control" id="vehicles_class" name="vehicles_class" required="">
                    <option value="">Select Vehicles</option>
                    <option value="CAR/JEEP/VAN AND LIGHT MOTOR VEHICLE">CAR/JEEP/VAN AND LIGHT MOTOR VEHICLE</option>
                  </select>
                </div>
              </div>
              <div class="col-md-12 row mt-10px sbi" style="display: none;">
                <div class="form-group col-md-4">
                  <label class="input-label">Chassis Number</label>
                  <input type="text" class="form-control" placeholder="Chassis Number" value="" id="chassis_number" name="chassis_number">
                </div>
                <div class="form-group col-md-4">
                  <label class="input-label">RC Number</label>
                  <input type="text" class="form-control" placeholder="RC Number" value="" id="RC_number" name="RC_number">
                </div>
                <div class="form-group col-md-4">
                  <label class="input-label">Engine Number</label>
                  <input type="text" class="form-control" placeholder="Engine Number" value="" id="engine_number" name="engine_number">
                </div>
              </div>
            </div>
            <div class="clearfix"></div>
          </div>
        </div>
      </div>
    </div>
    <div class=" mt-10px">
      <div class="row">
        <div class="col-md-12 mt-10px">
          <div class="col-md-12  ">
            <div class="row bg-gray">
              <div class="col-md-12 bg-color-logogray  ">
                <h5 class="mb-0 text-white uppercase"> <span class="circle-num">2</span><b> Applicant Details </b></h5>
              </div>
              <div class="clearfix"></div>
              <div class="col-md-12 row mt-10px">
              </div>
              <div class="clearfix"></div>
              <div class="col-md-12 row ">
                <div class="form-group col-md-4">
                  <label class="input-label">Applicant Name</label>
                  <input type="text" class="form-control" placeholder="Applicant Name" value="" id="ap_first_name" name="ap_first_name" required="true">
                </div>
                <div class="form-group col-md-4">
                  <label class="input-label">Mobile No. / मोबाइल न.</label>
                  <input pattern="[789]{1}[0-9]{9}" maxlength="10" type="text" class="form-control" placeholder="Mobile No" value="" id="mobile_no" name="mobile_no" required="true">
                </div>
                <div class="form-group col-md-4">
                  <label class="input-label">Email Id / ईमेल आईडी</label>
                  <input type="email" class="form-control" placeholder="Email Id" value="" id="email_id" name="email_id" required="true">
                </div>
                <div class="form-group col-md-4">
                  <label class="input-label">Date of Birth</label>
                  <input required="true" type="text" class="form-control datepicker" placeholder="DD-MM-YYYY" value="" id="dob" name="dob">
                </div>
                <div class="form-group col-md-4 mds">
                  <label class="input-label">PAN No.</label>
                  <input required="required" pattern="[A-Za-z]{5}[0-9]{4}[A-Za-z]{1}" type="text" class="form-control" placeholder="Pan Number" value="" id="pan_number" name="pan_number">
                </div>
              </div>
              <div class="clearfix"></div>
              <div class="clearfix"></div>
              <div class="col-md-12 row ">
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class=" mt-10px">
      <div class="row">
        <div class="col-md-12 mt-10px">
          <div class="col-md-12  ">
            <div class="row bg-gray">
              <div class="col-md-12 bg-color-logogray  ">
                <h5 class="mb-0 text-white uppercase"><span class="circle-num">3</span><b> Address Details </b></h5>
              </div>
              <div class="col-md-12 row mt-10px">
                <div class="form-group col-md-12">
                  <label class="input-label">Address</label>
                  <textarea class="form-control" placeholder="Address" value="" id="address" name="address" required=""></textarea>
                </div>
              </div>
              <div class="col-md-12 row mt-10px">
                <div class="form-group col-md-4 mds">
                  <label class="input-label">State / राज्य</label>
                  <select class="form-control" id="present-state" name="state" required="required">
                    <option value="">Select State</option>
                    <option value="387">ANDAMAN AND NICOBAR ISLANDS</option>
                    <option value="388">ANDHRA PRADESH</option>
                    <option value="389">ARUNACHAL PRADESH</option>
                    <option value="390">ASSAM</option>
                    <option value="391">BIHAR</option>
                    <option value="392">CHANDIGARH</option>
                    <option value="393">CHHATISGARH</option>
                    <option value="394">DADRA AND NAGAR HAVELI</option>
                    <option value="395">DAMAN AND DIU</option>
                    <option value="396">DELHI</option>
                    <option value="397">GOA</option>
                    <option value="398">GUJARAT</option>
                    <option value="399">HARYANA</option>
                    <option value="400">HIMACHAL PRADESH</option>
                    <option value="401">JAMMU AND KASHMIR</option>
                    <option value="402">JHARKHAND</option>
                    <option value="403">KARNATAKA</option>
                    <option value="404">KERALA</option>
                    <option value="405">LAKSHADWEEP</option>
                    <option value="406">MADHYA PRADESH</option>
                    <option value="407">MAHARASHTRA</option>
                    <option value="408">MANIPUR</option>
                    <option value="409">MEGHALAYA</option>
                    <option value="410">MIZORAM</option>
                    <option value="411">NAGALAND</option>
                    <option value="412">ODISHA</option>
                    <option value="413">PONDICHERRY</option>
                    <option value="414">PUNJAB</option>
                    <option value="415">RAJASTHAN</option>
                    <option value="416">SIKKIM</option>
                    <option value="417">TAMIL NADU</option>
                    <option value="457">TELANGANA</option>
                    <option value="418">TRIPURA</option>
                    <option value="420">UTTAR PRADESH</option>
                    <option value="419">UTTARAKHAND</option>
                    <option value="421">WEST BENGAL</option>
                  </select>
                </div>
                <div class="form-group col-md-4 mds">
                  <label class="input-label">District / जिला</label>
                  <select class="form-control" id="present-district" name="district" required="required">
                    <option value="">Select District</option>
                  </select>
                </div>
                <div class="form-group col-md-4">
                  <label class="input-label">Pin Code / पिन कोड</label>
                  <input required="true" pattern="[0-9]{6}" maxlength="6" type="text" class="form-control" placeholder="Pin Code" value="" id="present_pin" name="pin_code">
                </div>
              </div>
            </div>
            <div class="clearfix"></div>
          </div>
        </div>
      </div>
    </div>
    <div class="col-md-12 text-center">
      <br>
      <h4 style="color: orange;"><b>Apply Now &amp; Get Rs. 100/- Recharge Free</b></h4>
      <button type="submit" name="fastag_form" onclick="che_req()" id="fastag_form_submit" class="btn btn-default mb-20px text-center bg-color-golden fw-700 bttn"><b style="    color: white !important;">Validate &amp; Pay (599rs)</b></button>
    </div>
  </div>
  <div class="col-md-3">
    <div class="col-md-12 box-shadow-form bradius-5px" style="margin-top: 13%;">
      <br>
      <h4 style="color: orange;"><b>From 15 February 2021 FASTag is mandatory for 4 wheelers for making toll payments.</b></h4><br>
      <b>Pay Road Toll Payments Online - Go Cashless with FASTag – Hassle Free</b> <br><br>
      <b>Procedure to Get Online FASTag at your Doorstep </b> <br><br>
      <b> 1.</b> Choose Your Vehicle <br><br>
      <b> 2.</b> Fill Online Application Form <br><br>
      <b> 3.</b> Make Online Secure Payment.<br><br>
      <b> 4.</b> Executive will Process the Application. <br><br>
      <b> 5.</b> Get your FASTag at your Doorstep <br><br><br>
      <b>What is FASTag?</b><br><br> FASTag is a reloadable prepaid tag that will be fit in the center of your vehicle's front windshield. It enables you to travel hassle-free through Toll Plaza without stopping , applicable toll charges will
      automatically get debited from your fastag wallet. <br><br> The tag is based on RFID technology and is a part of the Government of India initiative. <br><br>
      <img src="assets/img/Fastag.png" class="center-block" width="100%" height="30%" style="margin-top: 6%;">
      <br>
    </div>
  </div>
  <div class="col-md-1">
  </div>
</form>

Text Content


 * Home
 * Personal Vehicle
 * Commercial Vehicle
 * Reissue Fastag
 * 
 * FAQ
 * TRACK
 * Contact Us


FASTAG APPLICATION FORM

1 VEHICLE REGISTRATIONS DETAILS

Vehicle Registrations No
Select Vehicle Types: / वाहनों के प्रकार Select Vehicles CAR/JEEP/VAN AND LIGHT
MOTOR VEHICLE
Chassis Number
RC Number
Engine Number


2 APPLICANT DETAILS




Applicant Name
Mobile No. / मोबाइल न.
Email Id / ईमेल आईडी
Date of Birth
PAN No.




3 ADDRESS DETAILS

Address
State / राज्य Select State ANDAMAN AND NICOBAR ISLANDS ANDHRA PRADESH ARUNACHAL
PRADESH ASSAM BIHAR CHANDIGARH CHHATISGARH DADRA AND NAGAR HAVELI DAMAN AND DIU
DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KARNATAKA
KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND
ODISHA PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TELANGANA TRIPURA UTTAR
PRADESH UTTARAKHAND WEST BENGAL
District / जिला Select District
Pin Code / पिन कोड




APPLY NOW & GET RS. 100/- RECHARGE FREE

Validate & Pay (599rs)



FROM 15 FEBRUARY 2021 FASTAG IS MANDATORY FOR 4 WHEELERS FOR MAKING TOLL
PAYMENTS.


Pay Road Toll Payments Online - Go Cashless with FASTag – Hassle Free

Procedure to Get Online FASTag at your Doorstep

1. Choose Your Vehicle

2. Fill Online Application Form

3. Make Online Secure Payment.

4. Executive will Process the Application.

5. Get your FASTag at your Doorstep


What is FASTag?

FASTag is a reloadable prepaid tag that will be fit in the center of your
vehicle's front windshield. It enables you to travel hassle-free through Toll
Plaza without stopping , applicable toll charges will automatically get debited
from your fastag wallet.

The tag is based on RFID technology and is a part of the Government of India
initiative.









INTERNAL LINKS


 * Personal Vehicle Fastag
 * Commercial Vehicle Fastag
 * Reissue Fastag

USEFUL LINKS


 * Faq
 * About Us
 * Contact Us
 * Track Application
 * Required Proof

LEGAL INFORMATION


 * Terms & Conditions
 * Privacy Policies
 * Data Security Policy
 * Disclosure Policy
 * Refund Policy
 * 

PAYMENT MODES



--------------------------------------------------------------------------------

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using this website, you agree to our Terms & Conditions , Refund and Privacy
Policy This site is owned by a Private Organization & Not Associated with any
Government Authority. Additional fee charged by us is our Consultancy fee.
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