Customer enrollment

Customer Information

Person Receiving Support

Plan / Service

Support Needed

Scheduling

Authorized Contacts

Add up to three family contacts. Leave unused contacts blank.

Emergency Contact

Apni Family is not an emergency medical service. In a medical, fire, police or life-threatening emergency, contact local emergency services first.

Home / Property Access

Do not provide passwords, bank PINs, OTPs or other sensitive credentials.

Expense Authorization

Receipts or supporting records will be provided for approved purchases where applicable.

Important Service Notes

Do not enter Aadhaar, PAN, banking information, passwords, OTPs, medical records or unnecessary sensitive documents.

Review Enrollment

Check every detail before proceeding to the service agreement.

Apni Family Service Agreement

Agreement Version: AF-SA-2026-09

Effective for this enrollment upon acceptance and service confirmation.

1. Parties. This agreement is between Apni Family and the customer identified in this enrollment form for the services selected and later confirmed by Apni Family.
2. Service Scope. Apni Family will provide only the services agreed in writing with the customer. Services may include non-medical family support, scheduled visits, accompaniment, errands, Home Watch, property coordination and other approved assistance.
3. Non-Medical Service. Apni Family provides non-medical support and coordination. It does not provide nursing, medical diagnosis, treatment, medication administration, legal advice, tax advice, investment advice or guaranteed emergency response.
4. Service Confirmation. Submitting this enrollment form does not by itself start service. The plan, service scope, schedule, price, access permissions and any additional charges must be confirmed by Apni Family before service begins.
5. Customer Authorization. The customer confirms that they are authorized to request the selected services and, where applicable, have permission from the person receiving support or the property owner for Apni Family to perform the agreed activities.
6. Home and Property Access. Apni Family will use access information only for authorized services. The customer is responsible for providing safe and lawful access. Sensitive credentials such as banking passwords, card PINs and OTPs should never be provided.
7. Purchases and Expenses. Purchases or third-party expenses will be made only within the permissions agreed with the customer. Expenses above the approved limit require additional approval. Receipts or supporting records will be provided for approved purchases where applicable.
8. Third-Party Providers. When Apni Family coordinates doctors, repair vendors, cleaners, drivers, contractors or other independent providers, those providers remain responsible for their own professional work, pricing and performance unless otherwise stated in writing.
9. Updates and Documentation. Apni Family may provide visit notes, receipts, photographs or video updates to authorized family contacts. Photos or videos will be taken or shared only where appropriate and authorized.
10. Emergencies. Apni Family is not an emergency response service. In a medical, fire, police or other life-threatening emergency, the appropriate local emergency service should be contacted first. Apni Family may assist with coordination where reasonably possible.
11. Scheduling and Changes. Visits and services are subject to scheduling and availability. Rescheduling, cancellation, travel, waiting time or special requests may result in additional charges when communicated and approved.
12. Fees. The customer agrees to the confirmed price for the selected service or plan. Third-party costs, travel charges, materials and services outside the agreed scope may be charged separately with approval.
13. Privacy and Confidentiality. Apni Family will use customer and family information for providing, coordinating and documenting services and will take reasonable steps to protect confidential information.
14. Accurate Information. The customer confirms that information supplied in the enrollment form is accurate to the best of their knowledge and agrees to inform Apni Family of important changes relevant to the service.
15. Ending Services. Either party may request to end ongoing services. Completed services, approved expenses and other outstanding charges remain payable. Any specific cancellation or refund terms confirmed with the selected plan also apply.
16. Agreement. By accepting this agreement, the customer confirms that they have reviewed the enrollment information, understand the service boundaries and agree to the confirmed Apni Family service terms.

Electronic Acceptance

Sign with your finger or mouse after reviewing the details and agreement.

Your signature, agreement version and acceptance time will be saved with your enrollment.