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1
PERSONAL DETAILS
2
ADDRESS DETAILS
3
APPLICANT STATUS
4
BANK DETAILS
Username
*
First Name
*
Last Name
Email
*
Mobile Number
*
Send OTP
OTP
*
Pan Number
*
Partner Code
*
Upload Pan Image
*
Choose file
Password
*
Confirm Password
*
Address
*
Upload Address Front Side
*
Choose file
Upload Address Back Side
*
Choose file
Pin Code
*
Country
*
Select
India
State
*
Select
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
SAMASTIPUR
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
City
*
Select City
STD Code
*
Telephone
*
Date of Birth
*
Virtual ID
GST Number
Name (As per Bank)
*
Bank Account No
*
IFSC Code
*
Bank Account Type
*
Select
Saving Account
Current Account
Demat
NRE
NRO
Bank Name
*
Bank State
*
Bank City
*
Pin Code
*
MICR Code
*
Upload Cancelled Cheque
*
Choose file
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