Service center login

SERVICE-CENTER REGISTRATION

Note: Residence Address of Partners/Directors/Individual :

Name:*

Birthday date:*

Anniversary Date:*

Email:*

Password:*

Confirm Password:*

Name of Firm:*

Select State: *

Select City:*

Pincode:*

Area:*

Entity*

Pvt Ltd Ltd Partnership Proprietorship

Office address*

Address for Delivery*

Ph.Nos(STD Code):*

Fax Nos:

Mobile Nos: *

No. of Technician:*

No. of Supervisor / Co-ordinator :*

No. of Telephone line : *

Authorised person's Name :*

DO you have GST number*

Yes No

GST No:*

Pan No:*

Bankers of the Distributor:*

Remarks:*