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Consumer Partner Registartion
Organization Details
*
Contact Details
*
Business Details
*
Bank Details
*
Other Details
*
Organization Details
All
*
marked fields are mandatory
Name Of Organization
*
Organization Type
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Proprietary
Partner Ship
Pvt Ltd
Public Ltd
Street
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Area/Town
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Pincode
*
State
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-- Select --
Karnataka
Tamil Nadu
Andhra Pradesh
Kerala
Maharastra
New Delhi
Madhya Pradesh
Punjab
Orissa
Goa
Uttar Pradesh
Assam
West Bengal
Pondicherry
Uttaranchal
Arunachal Pradesh
Lakshadweep
Gujarat
Haryana
Rajasthan
Himachal Pradesh
Sikkim
Jammu and Kashmir
Jharkhand
Tripura
Daman and Diu
Nagaland
Bihar
Chandigarh
Manipur
Chattisgarh
Meghalaya
Dadra and Nagar Haveli
Mizoram
Andaman and Nicobar
Bangladesh
BHUTAN
Telangana
Ladakh
Leh
Uttarakhand
Odisha
City
*
Contact Details
All
*
marked fields are mandatory
Contact Person
*
Telephone Number
Mobile Number
*
Fax Number
Email Address
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Alternate Email Address
Business Details
All
*
marked fields are mandatory
How many years have you been in business
*
Turn Over for the year 2021
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Turn Over for the year 2022
*
Turn Over for the year 2023
*
Projected Turn Over for the current year
*
- Select -
<10 Lakhs
10 - 50 Lakhs
50 - 75 Lakhs
75L to 1Cr
Above 1 Cr
Sales of computer hardware as % of above turnover
*
- Select -
<25%
25 - 50%
50 -75%
75 to 100%
GST No
*
Preferred MR
Bank Details
All
*
marked fields are mandatory
Bank Name
*
Branch Name
*
Account Number
*
IFSC Code
*
Account Type
*
Saving Account
Current Account
Pan Card Number
*
Upload Pan Card
*
Attach only .PDF file size below 2 MB
Other Details
All
*
marked fields are mandatory
Some key accounts handled by your organization
*
Please specify the brands for which you are an exclusive partner
*
Name of the person who filled this form
*
Preferred User ID
*
Password
*
Confirm Password
*
I hereby agree that the above statements are true and correct to the best of my knowledge and I understand that a false statement may reject the registration
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