Register with igenius

Primary Details

Child Name*

Please enter child's first name.

Class as per 2012-13 session*

Class as on Jan 1, 2012 or thereafter as per the school session for 2011-2012.

Email Id*

Please put your email address ex:test@test.com

Participation Information

Date of Birth*

Please select child's date of birth.

School Name* Please put your child school name.

Monthly School Fee* Choose the monthly school fee of your child. Please select the Monthly school fee of the child

Parent's Name* Only A-z, a-z are allowed.

Parent's Mobile Phone No.* Please put your mobile phone number starting with '7', '8' or '9'

State * Please select state you are from

City* Please select the city you belong to

Pin Code* Please enter your area pincode. Only no-negative numeric value are allowed

Login Details

User Name*

Please put your intended User Name.

I agree to the Terms and Conditions of the programme and my parents/ legal guardians are not a Max New York Life employee or Director or individual agent, or an employee of Derek O’Brien and Associates, or an employee of Euro RSCG India Private Limited to avoid any conflict of interest.

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Max New York Life Insurance Company Limited is a joint venture of MAX India Limited and New York Life Enterprises LLC. Terms and conditions as mentioned at www.igenius.org shall apply. Max New York Life Insurance Company Limited, 11th floor, DLF Square Building, Jacaranda Marg. DLF City Phase II, Gurgaon (Haryana) – 122002. Insurance is the subject matter of solicitation. For more information, please write to us at info@igenius.org . MNYL/Ads/Euro/igenius/2012/011

Visit us at www.maxnewyorklife.com