CHANNEL PARTNER ENROLLMENT FORM

    Visit Date:

    Name of Organization:

    (In case of Individual, Organization name is not required)

    Full Name:

    Business Type:

    Company Size (No. of employees):

    Primary Occupation:

    Registered Address:

    City:

    State:

    Country:

    Company Website (If any):

    PAN Card No.**:

    GSTN:

    RERA No.:

    Competency Certificate No.:

    Contact Details:

    Designation:

    Email Address:

    Office Phone:

    Mobile**:


    Note: Please upload your signature and the stamp in a single PDF file.

    Payment Details:

    Account Holder Name:

    Bank Name:

    Account No:

    IFSC Code:

    Account Type: