Authorized Agency Registration

Full Name

Username (Default Password)

Address

PIN Code

Mobile Number

Email ID

State --Select State-- ANDAMAN AND NICOBAR ISLANDS ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHHATTISGARH DADRA AND NAGAR HAVELI DAMAN AND DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KARNATAKA KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ODISHA OTHER PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMILNADU TELANGANA TRIPURA UTTAR PRADESH UTTARAKHAND WEST BENGAL

Shop Name

Aadhar

PAN

Account Type -- Select Account Type -- Retailer Distributor Super Distributor

ID Registration Charge (One-time)

PAN Application Charge (Per Application)

eKYC Verification Charge (Per Application)

Action Register

Back to Login