Channel Partner KYC Application
Agent RMN
Agent Name
DOB
Date format
mm/dd/yyyy
Gender
Male
Female
Father/Mother Name
Alternate Number
Email Id
Shop Name
Shop Category
Select Category
Agri Products Dealer
Bakery/Confectionery
Bank Agent/facilitator
Branded Fast Food Outlet
Chemist Shop
Consumer Durables
Cyber cafe
Dry Cleaner
Ent. Complex
Farmer
Food Joint
General/Kirana
Gift Shop
House wife
Indian fast food
Insurance
Ladies hosiery/Cosmetics
Medical shop
Milk-Bread-Butter
Mobile Prepaid Card Retailer
Pan Shop
Petrol Station
Post Office Agent
Pud/Bar/Longue
Retired From Service
Social Work Institution
Hotel/Motel
Super Market
Sweet Shop
Teacher
Telecom Shop
Books/Music
Courier
Gram Pradhan
Liquor Shop
Money Lender
Restaurant Dhaba(Roadside Restaurant)
Un Employed
Others
Financial Service Agent
STD/PCO Xerox
Student
Employed
Housewife
Retired
Shop Owner
Consultant
Other business
Plumber
Mansion
Fitter
Electrician
Driver
Carpenter
Labourer
Peons
Wielder
Cook
Worker
Gardner
Rickshaw Puller
Auto Driver
Car Driver
Truck Driver
Bus Driver
Train Driver
Govt. Servant
Black Smith
Gold Smith
Watchman/Security Guard
CCE
Domestic
Utility
Education
Supermarket
Goverment
Pin Code
State
Select State
A&N Islands
Andhra Pradesh
Arunachal Pradesh
Bihar
Chandigarh
Chhattisgarh
Daman & Diu
Delhi
Goa
Gujarat
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Meghalaya
Mizoram
Nagaland
Pondicherry
Punjab
Rajasthan
Sikkim
Tripura
Uttar Pradesh
Uttarakhand
Assam
D&N Haveli
Haryana
Karnataka
Orissa
Tamil Nadu
West Bengal
Manipur
Telangana
Mumbai
City
Agent Address
Shop Address
Distributor
Pancard Number
Select Address Proof Type
Aadhaar Card
Voter ID Card
Driving License
Shop Establishment Certificate
Address Proof Number
Upload Adhaar Front Copy
Upload Adhaar Back Copy
Upload PAN Card Copy
Upload Photo
Submit Appliication
