Driver Registration
Complete the application to join NAAM ERS as an ambulance driver.
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Section 01
Personal Information
Full name
*
Mobile
*
Alternate mobile
Email
Address
City
State
Pincode
Date of birth
Gender
Select
Male
Female
Other
Blood group
Emergency contact
Section 02
KYC & Driving License
Aadhaar / ID reference
*
PAN reference
Driving license number
License expiry
Issuing state
Section 03
Ambulance Details
Registration number
*
Make / model
Year
Owner name
Ownership type
Ambulance type
Basic
Oxygen
Ventilator
ICU
Neonatal
Service city
*
Operating zones / service areas
*
Section 04
Available Facilities
Oxygen
Ventilator
Monitor
Suction
Stretcher
Wheelchair
Paramedic
Nurse
Doctor support
Air conditioning
Trauma support
Neonatal support
Other equipment
Section 05
Bank Details
Account holder
Account number
IFSC code
Bank name
UPI ID
Section 06
Document Uploads
Profile Photo
Aadhaar Front
Aadhaar Back
PAN Card
License Front
License Back
RC Book
Insurance
Permit
Fitness Certificate
Pollution Certificate
Ambulance Photo
Police Verification
Submit Application