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New Direct Seller Registration Form

Upline's Details

Upline Id*

Position

Sr. Advisor Name

Sr. Advisor Contact

New Direct Seller Information

Name*

Father/Husband Name

Username

D.O.B*

Gender

Mobile*

Alternate Mobile No.

Password*

Confirm Password*

State*

City

Profession

Marital Status

GST No.

Aadhar Card No.

Station Name*

Co-Applicant's Details

Nominee Name

Relation

Nominee D.O.B

Billing Address

State

City

POST OFFICE

District

PIN Code

Phone(O/R)

Address

Shipping Address

Same As Above

State

City

POST OFFICE

District

PIN Code

Mobile

Address

BANKING DETAILS

Bank Name

Branch Name

Account No.

PAN No.*

IFSC Code

Income Tax Assesses

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I have read and understood the Term & Condition

New Direct Seller Registration Form

Upline's Details

New Direct Seller Information

Co-Applicant's Details

Billing Address

Shipping Address

BANKING DETAILS

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