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Dealer Details
Shop's / Firm Full Name
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Mobile Number
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Landline Number
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Region
Registration Number
Shop Act License Number
GST Number
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Shop Pancard Number
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Bank Account Details
Bank Name
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Bank Account Number
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Bank Branch
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IFSC Code
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Attach Blank Cheque
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Attach Shop Pan Card
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Attach Shop Photo
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Owner's Details
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Shop Owner's Full Name
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Date Of Birthday
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Pan Card Number
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Aadhar Card Number
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Attach Passport Copy (Front Page)
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Passport Number
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Owner's Details
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Male
Female
Shop Owner's Full Name
*
Date Of Birthday
*
Pan Card Number
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Attach Pan Card Copy
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Maximum upload file size in 3 MB
Aadhar Card Number
*
Attach Aadhar Card Copy
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Attach Passport Copy (Front Page)
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Attach Passport Copy (Back Page)
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Passport Number
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