E-AGREEMENT REGISTRATION
Retailer ID *
Ownership Type *

Agency Name *
Agency Shop Address *

Proprietor Father Name *
Proprietor Name *

Proprietor Residence Address *
PAN Number *
Proprietor Aadhaar Number *

Verify PAN/Aadhaar Linked   

Age *
Mobile No *
Email ID *

Certificate Type *
Certificate No *

Proprietor Aadhaar Card
PAN Card

Shop Address Proof
Residence Address Proof

GST Full Set/MSME Certificate/Trade Licence
Firm Deed