Agent Registration
Company Information
Select User Category *
Agent
Distributor
Corporate
Company Name *
Contact Number *
City *
State *
Select State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman & Nicobar
Chandigarh
DNH & Daman Diu
Delhi
Jammu & Kashmir
Ladakh
Lakshadweep
Puducherry
Country *
India
United States
China
United Arab Emirates
United Kingdom
Germany
France
Singapore
Thailand
Malaysia
Australia
Canada
Japan
South Korea
Saudi Arabia
Qatar
Oman
Turkey
Indonesia
Vietnam
Nepal
Sri Lanka
Address 1 *
Address 2
Pincode *
Company Adrress Proof *
Personal Information
Select Salutation *
Choose...
Mr
Ms
Mrs
First Name *
Last Name *
Contact Email *
Mobile Number *
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
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