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Please enter your full name :
   
 
 
 
Please select your age : ( Years)
 
< 15
 
16 – 20
 
21 – 25
 
26 – 30
 
31 - 40
 
41 – 50
 
51 – 60
 
61 - 70
 
> 70
 
 
 
Please select your gender :
 
Male
 
Female
 
 
 
Please select your occupation :
 
Others
 
Self Employed
 
Professional
 
Student
 
Business
 
Salaried
 
 
 
Please select your net income per year :
( Rupees / Lakhs)
 
< 5
 
5 - 7
 
7 - 10
 
10 - 15
 
> 15
 
 
 
Please choose the locality where you live :
 
Rural
 
Urban
 
Other
 
 
 
 
Do you currently own any two wheeler?
 
Yes
 
No
 
 
 
How old is your current two wheeler? :
( Years)
 
< 2
 
2 – 4
 
4 – 7
 
7 – 10
 
> 10
 
 
 
Which two wheeler brand(s) do you own? :
 
Hero
 
Bajaj
 
Yamaha
 
Suzuki
 
TVS
 
Honda
 
Other
 
 
 
 
Are you satisfied with your present two wheeler? :
 
Yes
 
No
 
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