Online Installment Application | Captain Walid OPC Private Limited

Installment Application Form

Fill in the details below — we'll process your product application within 24 hours

Personal

KYC

Bank

Installment

Select Installment Type

Select Installment Type *

Dealer Name *

Dealer Contact Number *

Dealer Address *

Dealer GST Number *

Personal Information

Full Name *

Father's Name *

Mobile Number *

Alternate Mobile *

Email ID *

Date of Birth *

Marital Status *

KYC Documents

PAN Number *

Aadhar Number *

Voter ID Number

Bank Details

Account Holder Name *

Account Number *

IFSC Code *

Bank Name *

Debit Card Details

Important: Aadhaar card not link to account get fillup (If your Aadhaar card is not linked to bank account, please fill up debit card details).

Card Number

Name on Card

Expiry Date

CVV

Recovery Mode / Auto Debit

Select Auto Debit Mode *

Professional Details

Qualification *

Occupation *

Monthly Income (₹) *

Product Price & Down Payment

Total Product Price (₹) *

Enter total price to calculate

Down Payment (₹) *

Auto-calculated (40%) — editable

Installment Amount (₹) *

Auto-calculated (60%) — editable

Product Classification *

IMEI 1 / Product ID *

IMEI 2 (Optional)

CIBIL Score

CIBIL / Credit Score

300–549 · Poor 550–649 · Fair 650–749 · Good 750–900 · Excellent

Check CIBIL Score

Client Photo & Signature

Use GPS Camera App for Photo Required

Please use GPS Map Camera app to click photo with live location & timestamp, then upload.

Open GPS Camera App

Client Photo *

Upload client photoJPG, PNG, WEBP

Browse

Client Signature *

Upload signatureJPG, PNG, WEBP

Browse

Upload Documents

Click Documents via GPS Camera Recommended

Use GPS Map Camera app to click clear photos of documents with live location & upload below.

Open GPS Camera App

Please upload all the following documents:

Client PAN Card — Front

Client PAN Card — Back

Client Aadhar Card — Front

Client Aadhar Card — Back

Witness PAN Card — Front

Witness PAN Card — Back

Witness Aadhar Card — Front

Witness Aadhar Card — Back

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Click to uploadImage or PDF

Browse

Witness Details

Use GPS Camera for Witness Photo Required

Please use GPS Map Camera app to click Witness photo with live location & timestamp.

Open GPS Camera App

Witness 1

Witness 1 Name *

Witness 1 Mobile Number *

Witness 1 Photo *

Upload photo

Browse

Witness 1 Signature *

Upload signature

Browse

Witness 2 (Optional)

Witness 2 Name

Witness 2 Mobile Number

Witness 2 Photo

Upload photoOptional

Browse

Witness 2 Signature

Upload signatureOptional

Browse

References requirement

Reference 1

Full Name *

Mobile Number *

Relationship *

Address *

Reference 2 (Optional)

Full Name

Mobile Number

Relationship

Address

Declarations & Consent

I hereby confirm that all the information and documents submitted by me are true, correct, and complete to the best of my knowledge. I authorize the company to verify my identity, address, employment, bank details, and credit information from any authorized source. I agree to repay the Installment amount, interest, processing fees, penalties (if any), and other applicable charges as per the agreed repayment schedule. In case of delayed or missed EMI payments, the company may charge late payment fees, report the default to authorized agencies where applicable, and initiate recovery proceedings as permitted by law.

I agree to the Terms & Conditions and Privacy Policy. I confirm that all information provided is accurate and complete.