Registration Form

Oxxy Health Plans Registration

OXXY GREY

Name *

Mobile *

Date Of Birth *

Gender *

Male Female

Email *

Pincode *

Address1 *

Address2

State *

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Coupon Code

Purchase For:

Special Price (Rs.):
850*12 = 10200

10200 Annually

Sub Total (Rs.):

IGST @18% (Rs.):

Grand Total (Rs.):

How Did You Connect

Yes, I have read and understood OXXY Terms & Conditions and I agree with them.