ACCOUNT REGISTRATION FORM

ACCOUNT REGISTRATION FORM

Beyounick Spire Technology Pvt. Ltd

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SHOP NAME *

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AADHAAR MATCHED NAME *

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MOBILE NUMBER *

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E-MAIL ID *

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AADHAAR MATCHED ADDRESS *

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STATE NAME *

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CITY NAME *

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ZIP CODE *

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PAN NUMBER *

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AADHAAR NUMBER *

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PAYMENT MODE *

Choose

CREDIT CARD

DEBIT CARD

NET BANKING

APP BANKING

FUND TRANSFER

PHONE PAY

PAYTM

CASH

CHOOSE AN ACCOUNT *

Retailer Account

DIstributor Account

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JOINING DATE

MM

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DD

/

YYYY

AGENT NAME *

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