RubberKing Tyres Promotional Item Registration Form

Dear Customer,

Thank you for purchasing RubberKing Tyres. This form is to register your purchase and collect details for our records and for processing any applicable Cashback and Gift Hamper. Please fill in the details accurately. This form should take about 2 minutes to complete. All your information will be kept confidential and used only for official purposes.

For any questions, please contact us at promotions@rubberkingtyres.com.

Customer's Personal Details

This section collects the basic contact information.

Please provide your 10-digit mobile number without ISD Code (+91 or 0).
e.g., Aadhaar Card, PAN Card, Driving License, etc.
Please provide your complete address including house number, street, and District.

Tyre Details

Proof of Purchase

This is crucial for verification. Without this, you will not be eligible for any Gifts and Promotional item. Please attach a clear physical copy of the invoice/bill. Ensure the date, dealer name, and tyre details are clearly visible.

Bank Account Details

Name as it appears in your bank passbook.
An 11-character code found on your cheque book or passbook.

UPI Details

Final Confirmation

Declaration