Reseller Registration

Company Name:

Company Address:

Shop/Office Status:

Ownership

Rented

Leased

Tel.No. (with STD Code):

Fax.No.:

Mobile:

Comapny Email:

Year Of Establishment:

Comapny PAN No.:

Comapny Type:

Proprietor

LLP

Partner

Pvt.Ltd.

Ltd.

Annual Turnover(In Lakhs):

Name Of the Accountant:

GST No.:

Kindly attach Latest 3 Months Bank Statements:

Company PAN Card:

GST Certificate Copy:

BUSINESS REFRENCES (MINIMUM 3NOS.)

Proprietor Partners Directors
Password: * Confirm Password:*
Date: * Designation: * Signature: * Company Stamp: *

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