Dealer Empanelment System

Channel Details

Agreement Details

Agreement Image Upload

Product^*

Channel Type^*

Dealer

Chain Dealer

Branch Name^*

Date Of Birth^*

Channel Owner Name^*

Channel Name^*

Owner Type^*

Proprietor

Partner

Pvt Ltd

Ltd

Individuals

Owner Details1^*

Owner Details2^*

Owner Details3

Owner Details4

Address Details

Address1^*

Address2^*

Pincode^*

Town^*

Taluk^*

District^*

State^*

Email ID^*

Verify Email

Enter Email OTP^*

Mobile No^*

Verify Number

Enter OTP^*

Bank Details

Bank Name^*

Branch Name^*

Bank A/C No^*

IFSC CODE^*

Payment in Favor^*

Trade Certificate No^*

GSTIN^*

Pan No^*

Product Details

SL.No	Product *	Unit sold per month *
1

ADD

Manufacturing Details

SL.No	Manufacturer *	OEM/DMS Authorized Dealer Code ( Mobiles/Laptops ) *
1

ADD

I Accept the TERMS AND CONDITIONS