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Merchant Details

User Type

Personal Details

Shop/Business Name *

Name (As PAN)*

Mobile Number*

Email Id

Documents

PAN Number *

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POA*

POA Number

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Address

Business Address*

PIN Code*

City*

District*

State*

Merchant Category

Plan Detail

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Amount

Bank Details

Bank Name*

Account Holder Name*

Account Number*

IFSC Code*

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* Account verification charges are applicable.

Payment details

Registration Mode

Registration Fee Stock

	Registration Fee
Grand Total	‎

Stock Selection

Silver (‎₹{{MR.Stocksilver}})

₹{{MR.totalSivlerstock}}

Gold (₹{{MR.StockGold}})

₹{{MR.totalGoldstock}}

Platinum (‎₹{{MR.StockPlatinum}})

₹{{MR.totalPlatinumstock}}

Coral (‎₹{{MR.StockCoral}})

₹{{MR.totalCoralstock}}‎

Grand Total

₹{{MR.TotalstockGrandamount}}

Selected Plan

Plan

Amount

Account Verification Charges

Total Chargeable Amount

Appointed By

Name*

Mobile Number*

Mode Of Payment

Offline Online

Pay Through

ICICI Bank Ltd

Account No: 069305006331
IFSC Code : ICIC0000693
Branch : Kavali, Nellore, Andhra Pradesh

Payment Mode

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