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User Registration Form
Name
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Email
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Mobile
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PAN
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Aadhar Number (UID)
Please provide your UID.
Location
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State
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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
OTHER
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
Please provide your state.
PIN Code
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User Type
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Retailer
Distributor
Super Distributor /Partner
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Payment Transaction ID
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