REGISTRATION
FORM
(*All fields are mandatory)
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Buyer Type * |
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Address |
User Type * |
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Name of the Organisation/Person:*
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Contact Person* |
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Date of Birth*
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Designation* |
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Address/Street* |
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City* |
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PIN* |
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State* |
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Country* |
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E-Mail* |
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Phone* |
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Phone |
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Phone |
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Mobile |
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Fax |
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Preferred
User Id*( 8-12 characters) |
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Password*(
8-15 characters) |
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Confirm Password* |
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Sales Tax Reg. No./VAT No. |
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Passport No. |
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Voter's ID Card No. |
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PAN Card No. |
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GST No. |
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Payment in Favour of |
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Mailing Address |
Same As Above
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Street* |
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City* |
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PIN* |
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State* |
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Country* |
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Second Representative Contact Address |
Name of the Person |
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Date of Birth |
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Designation |
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Department |
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Street |
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City |
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PIN |
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State |
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Country |
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E-Mail |
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Phone |
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Phone |
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Phone |
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Mobile |
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Fax |
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Banker Details |
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Bankers' Name* |
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Account Number* |
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Branch* |
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Branch Code |
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Security Question |
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Question Answer |
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Comment |
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Buyer Terms & Conditions |
Seller Terms & Conditions |
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I Agree
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