Dealer Sign Up
SECTION A:
Dealer Details
Dealer Name:
*
Business Name:
*
Business Type:
--Select Business Type--
MBO
Other:
GST Number:
*
PAN Number:
*
Mobile number:
*
Email:
*
SECTION B:
Contact Information
Registered Address:
Address 1:
*
Address 2:
City
*
State:
*
State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Karnataka
Kerala
Lakshadweep Islands
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
Telangana
Chhattisgarh
Chattissgarh
Pin Code:
*
Billing Address:
Same as Registered Address ?
Address 1:
Address 2:
City
State:
State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Karnataka
Kerala
Lakshadweep Islands
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
Telangana
Chhattisgarh
Chattissgarh
Pin Code:
Contact Person Business:
Person Name:
*
Department:
*
Designation:
*
Email ID:
*
Phone Number:
*
Contact Person Accounts:
Person Name:
*
Department:
*
Designation:
*
Email ID:
*
Phone Number:
*
Contact Person Reports:
Person Name:
*
Department:
*
Designation:
*
Email ID:
*
Phone Number:
*
Single Store
Multiple Store
Bill on single GST Number ?
Yes
No
Business Name:
Address 1:
Address 2:
City
State:
State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Karnataka
Kerala
Lakshadweep Islands
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
Telangana
Chhattisgarh
Chattissgarh
Pin Code:
GST:
Add
Business Name
Address 1
Address 2
City
State
pin Code
GST
SECTION C:
Banking Details
Bank Name:
*
Branch Address:
*
Account Number:
*
IFSC Code:
*
Account Type:
*
Current
Savings
SECTION D:
Document Checklist (Attach Copies)
GST Certificate:
*
Upload A File
PAN Card:
*
Upload A File
Cancelled Cheque:
*
Upload A File
Shop & Establishment Certificate /
Trade License
Upload A File
Address Proof
(Electricity Bill / Rent Agreement / Aadhar Card)
Upload A File
SECTION E:
Terms & Conditions
The dealer agrees to comply with the credit terms set forth by the company.
TERMS OF USE
The dealer ensures that all provided information is accurate and up-to-date.
PRIVACY POLICY
Orders will be processed upon verification of details and required documents.
SHIPPING POLICY