Gold Membership Application Introducer Name Introducer Code Applicant Name Contact Number Email ID Date of Birth Nominee Name Nominee Date of Birth Relationship Agreements BIJOCARE Midline is the private mutual subsidiary vertical of BIJO Group.The membership of BIJOCARE Midline is private & non-transferable.The Care Card is not usable as debit, credit or any type of cash-less card.There will be no refreshment for any kind of pre-paid service.Charge for loss of the Card is *100 non-refundable.Once membership gets terminated or exit kindly submit the card to vertical executive.If membership gets dormant and company wont receive the card will deduct 100 as card lost charge From full and final settlement amount. Self declaration Pan Card Aadhar card Cancelled cheque Signature Selfie click
