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Benefits of Registration

Product Details Template

Seller Registration Form

Register as Seller & Give a Boost to your Sales

Seller Registration Form / विक्रेता पंजीकरण फार्म

First Name / नाम

Last Name / उपनाम

Mobile No. /मोबाइल नंबर

Email / ईमेल

Name of The Organization / फर्म का नाम

GST No / जीएसटी नं

Udyam Registration / लघु उद्योग पंजीकरण संख्या

Work Address/ कार्यालय का पता

City / शहर

State / राज्य

Zip code / ज़िप कोड

Contact Person's Name / संपर्क व्यक्ति का नाम

Mobile No. /मोबाइल नंबर

Email / ईमेल

Warehouse Address Same as Office? / गोदाम का पता कार्यालय के पते के समान है?

Yes / हाँ

No / नहीं

Contact Person Same As Above? / संपर्क व्यक्ति उपरोक्त के समान है?

Yes / हाँ

No / नहीं

Warehouse Address/ गोदाम का पता

City / शहर

State / राज्य

Zip code / ज़िप कोड

Registration ids/ पंजीकरण आईडी

Upload File

Cancelled Cheque/ रद्द किया गया चेक

Upload File

Product Details / उत्पाद विवरण

Upload File

It is certified that Agamya Store is authorized to market, distribute and re-sell our products under our brand name

This is to certify and confirm that we are the rightful and legal owners of the products sold under the provided brand name. We undertake responsibility for any claim or liability arising thereof regarding ownership of the said brand and Agamya Store cannot be held responsible for re-selling products provided by us under the said brand name.

Thanks! We will contact you shortly / धन्यवाद! हम आपसे शीघ्र ही संपर्क करेंगे