Agent Registration
Company Information
Select User Category *
Agent
Distributor
Corporate
Company Name *
Contact Number *
City *
State *
Select State
Rajasthan
Maharashtra
Delhi
Country *
INDIA
Address 1 *
Address 2
Pincode *
Company Adrress Proof *
Personal Information
Select Salutation *
Choose...
Mr
Ms
Mrs
First Name *
Last Name *
Contact Email *
Mobile Number *
Verify Email & Mobile
Use Mobile Number As User ID
Use Email As User ID
Password *
Confirm Password *
PAN Details
Name on PAN *
PAN Number *
Upload PAN *
GST Details (Optional)
I have valid GST information
GST Holder
GST Number
Upload GST Registration
Documents Verification (Select Minimum of 2)
Aadhar Card
Aadhar Number
Aadhar Front Page
Aadhar Back Page
Max size: 4MB, Types: jpeg, jpg, png
Voter ID
Voter ID Number
Voter ID Front Page
Voter ID Back Page
Max size: 4MB, Types: jpeg, jpg, png
Driving License
Driving License Number
License Front Page
License Back Page
Max size: 4MB, Types: jpeg, jpg, png
Passport
Passport Number
Passport Front Page
Passport Back Page
Max size: 4MB, Types: jpeg, jpg, png
I agree to the Terms and Conditions
Submit