Personal Details
Name and DOB must match PAN card exactly
Full Name
(as on PAN)
*
Mobile Number
*
+91
Generate OTP
OTP has been sent to your registered mobile number.
OTP Verify
*
Mobile number verified
Email Address
Date Of Birth
(as on PAN)
*
Referral code
Language Preference
*
-- Select Language --
Related Party
*
(related to Nayara Franchisee or their staff)
YES
NO
RO Code
*
RO Name
Divisional Office
State Office
Region Office
PAN & KYC
Required for identity verification
PAN Number
*
PAN Card
*
Only JPG/PNG/PDF, Max 2MB
Location Details
State and division are fetched automatically from pin code
Pin Code
*
City
State
Division
Address
*
0/250
Lat / Long
Address Proof type
*
-- Select --
Address Proof No
*
Upload Address Proof
*
Only JPG/PNG/PDF, Max 2MB
Bank Details
Optional bank account and proof details
Bank Name
*
Account Holder Name
*
Account Number
*
IFSC Code
*
Bank Proof / Cancelled Cheque
*
Only JPG/PNG/PDF, Max 2MB
Submit Enrolment
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