Fields in * are mandatory

Company Details

Name: *

Company Name:

Mobile Number: *

Email:

Address:

City :

Pin Code :

GST Number:*

Nature of Business:

Is Logistics Service required?
Yes
No

Proprietor/Partners

Name1:

Name2:

Mobile:

Mobile:

Bank Details

Account no. :

Bank Name :

IFSC Code :

Bank Account Name:

Branch:

Persons Authorized for Delivery

Name 1 :

Name 2 :

Name 3 :

Name 4 :

Documents Required

Company Incorporation Certificate/Partnership Deed

Select a file:

Communication Address Proof

Select a file:

Company PAN

Select a file:

GST Certificate

Select a file:

Authorised Person 1 Photo

Select a file:

Authorised Person 2 Photo

Select a file:

Authorised Person 3 Photo

Select a file:

Authorised Person 4 Photo

Select a file: