Become an Agent

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Name (same as on aadhar)

Father's Name

Phone

Address (same as on aadhar)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Educational Qualification

District / Sub-Division Applied For

Shop Name

Pan Number

Trade License Number

Upload Aadhar Card (.pdf, .png, .jpg, jpeg)

Click or drag a file to this area to upload.

Upload PAN Card (.pdf, .png, .jpg, jpeg)

Click or drag a file to this area to upload.

Upload Qualification Certificate (.pdf, .png, .jpg, jpeg)

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Please confirm

I have read, understood, and agreed to the terms and conditions for business agent. This agreement shall remain in effect until terminated by either party in accordance with Clause 10.