Department of
Commercial Taxes
Uttar Pradesh
Mukhyamantri Vyapari Durghatna Bima Yojna
Please Select Language/कृपया भाषा चुनें
New Registration
Check Status of Registered Application
GSTN Details
Please Enter GSTN Number:
Invalid GSTIN Number
Firm Name:
Zone:
Range:
PAN:
Click Here to Verify
Verified
Address:
Click Here to Verify
Verified
Claim For Disability or Death of Registered Person:
Disability/Death of Registered Person:
In case of Disability
In case of Death
GSTN Certificate:
GSTN Document:
Accident Details:
Name of the Deceased Person:
Deceased Person Father Name:
Deceased Person Date of Birth:
Date Of Accident:
Cause of the Accident(Brief Description of the accident):
Date of Death:
(Late Registration. Please redirect to the Late Registration Form.)
CKICK HERE
Death Certificate Details:
Death Certificate Number:
Death Certificate Date:
Death Certificate Document:
Affidavit for Late Registration(Applying after 6 month from the Death or Disability Date):
Affidavit Document:
Beneficiary Details:
Deceased was Married or not:
Yes
No
Name of Spouse:
Name of Successor:
Address of the Spouse:
Address of the Successor:
Relationship with Spouse of the Deceased:
Relationship with Successor of the Deceased:
Husband
Wife
--Select Relation--
Father
Mother
Brother
Sister
Mobile Number:
Alternate Mobile Number(If any):
Ration Card Number/Family ID:
Spouse Aadhar:
Successor Aadhar:
Spouse PAN:
Successor PAN:
Successor Certificate:
Beneficiary Bank Account Details Details:
Beneficiary Account Number:
Beneficiary Bank IFSC Code:
Beneficiary Account Document (Passbook/ Cancelled Cheque with name of Beneficiary):
Postmortem/Punchnama Details:
(If Postmortem is done then its Mandatory to upload)
Select Postmortem or Punchnama or Both:
Postmortem
Panchnama
Postmortem Number:
Postmortem Date:
Postmortem Document:
Punchnama Number:
Punchnama Date:
Punchnama Document:
FIR/GD Details:
(If FIR is registered then its Mandatory to upload)
Select FIR or GD or Both:
FIR
GD
FIR:
FIR Date:
FIR Document:
GD:
GD Date:
GD Document:
If you don't have any documents.
Beneficiary Bank Account Details Details:
Beneficiary Account Number:
Beneficiary Bank IFSC Code:
Beneficiary Account Document (Passbook/ Cancelled Cheque with name of Beneficiary):
Disability Details:
Name of the Disabled Person:
Disabled Person Father Name:
Disabled Person Date of Birth:
Cause of the Disability(Brief Description of the Disability):
Date of Disability:
Aadhar of Disabled Person:
PAN of Disabled Person:
(Late Registration. Please redirect to the Late Registration Form.)
CKICK HERE
Disability Certificate Details:
Disability Certificate Number:
Disability Certificate Date:
Disability Certificate Document:
Required Documents/Details:
All Documents are mandatory to Upload if they are issued.
In case of Accidental Death then Death Certificate is mandatory.
If Postmortem is done then its mandory to upload, otherwise Punchnama is mandatory.
If FIR is registered then its mandatory to upload, otherwise GD is required.
In case of Disability then Disability Certificate is mandatory.
Beneficiary/Successor certificate issued by a competent authority.
Beneficiary/Successor PAN, Aadhar, Bank IFSC Code and Account Number.
If the applicant is applying after 6 Month from the death/disability date then, affidavate is required for the late registration.