Create Retailer Account
Bank Details
Bank Acc No.
Bank IFSC Code
Aadhaar No
Pan No
Personal Details
Select Title
Select Title
Mr.
Ms.
Mrs.
First Name
Last Name
Father's Name
Mother's Name
Occupation
Gender
Select Gender
Male
Female
Marital Status
Select Marital
Married
Un Married
Date of Birth
Address Line-1
Address Line-2
Land Mark
City
Pin Code
Country
Select State
Select State
Andhra Pradesh
Andaman & Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar 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
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Select District
Select District
Mobile No
Primary Email Id
Alternate Email Id
Shop Details
Same as Personal Details
Corporate Name
GST No
Select Company Type
Select a Comapny Type
Grocery Stores and Supermarkets
Digital Goods-Multi-Category
Miscellaneous General Merchand
Telecommunication Equipment
Debt collection agencies
Shop Address Line 1
Shop Address Line 2
Shop landmark
Shop City
Shop Pin Code
Country
Select State
Select State
Andhra Pradesh
Andaman & Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar 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
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Select District
Select District
KYC Document Upload
Pan Card Document
Aadhaar Front Side Document
Aadhaar Back Side Document
Shop Image with Agent & Employee
Bank Passbook/Cancelled Cheque Copy
Bank Details Verified
Verify your details
Verify OTP
×