Personal Information
Tell us about yourself. All fields marked with * are required.
Please enter your full name (min. 2 characters)
Please enter father's / husband's name
Please select your gender
Please enter your date of birth
Please select your qualification
Enter a valid 10-digit mobile number
Leave blank if same as mobile
OTP will be sent to this email for verification
Enter a valid email address
Please select your district
Please select your taluka
Please enter your city or village
Enter a valid 6-digit PIN code
Your location helps us assign a coordinator
Please enter your full address (min. 10 characters)
Please select your type of business
Please select your experience
Your Aadhaar and PAN details are encrypted and used only for identity verification. We do not share this data with any third party.
Format: XXXX XXXX XXXX
Enter a valid 12-digit Aadhaar number
10-character alphanumeric PAN
Upload clear, readable documents. JPG, PNG, or PDF accepted. Max 5 MB per file. Passport photo and Aadhaar card are required.
Required
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Passport Photo
Recent passport-size photograph
Required
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Aadhaar Card
Front & back (single image or PDF)
Optional
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PAN Card
Income tax PAN document
Optional
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Shop / Outlet Photo
Outside view of your shop or office
Optional
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Shop Registration Proof
Shop Act License / Udyog Aadhaar / GST Certificate / Any valid business registration document
Registration Successful!
Your agent application has been received. A confirmation email has been sent to your inbox.
Your Application ID
REG-00000
1
Our team will review your application within 24–48 hours
2
You will be contacted on your registered mobile number for verification
3
Upon approval, your Login ID & Password will be emailed to you
4
Log in to the Agent Portal and start submitting records & earning