DB-Circulation

DB-Vendor Registration Form

Personal Details

Title*

First Name*

Middle Name

Last Name

Contact Number*

Alternet Contact Number

Email ID*

Address Line 1*

Address Line 2

State*

City*

Unit*

Distt*

Pin Code*

Check if business Address is same

Business details

Firm Name*

Firm Address Line 1 *

Firm Address Line 2

State *

City *

Distt *

Pin Code*

GST number

Existing business *

PAN Holder Name *

PAN Number *

Bank Details

Bank Name*

Branch Address *

Account number *

IFSC code *

Branch Name*

Bank City*

Account holder name*

Upload Documents

Select Address Proof Type*

Upload Address Proof *

Upload PAN *

Upload Photo *

GST certificate

Bank passbook/Canceled cheque *

Enter OTP *