PAN CARD CENTRE APPLY

Unboxing Radium Box

Thank you for your interest in Radium Box. Please fill up the application form below for authorized franchisee.

 

NOTE :- All (*) marks are mandatory to fill the details

 

Applicant Information Full Name * Father Name* Date of Birth(DD/MM/YYYY)* Age Gender* Male Female Transgender Email-id* Spouse name Educational Qualification:* Select Qualification SSC Inter Degree PG Professional Courses Others Specialization* Contact Number* Landline Number

Business Information (*) Type of Business(pvt.ltd or etc) Select Business Type proprietorship partnership PVT LTD. LLP OPC Others Current Business: Year of Incorporation Office Address District State Select State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttarakhand Uttar Pradesh West Bengal Pin Code Mobile Number

Infrastructure Details (*) Computer Yes No Printer with Scanner Yes No Internet Yes No Smartphone Yes No Electricity Yes No Office Area (100 sq.feet) Yes No

KYC Details PAN Number: Upload PAN Address Proof Select ID AADHAR DL PASSPORT EPIC Upload Add. proof

Bank Details (*) Bank Name Allahabad Bank Andhra Bank Axis Bank Bandhan Bank Limited Bank of Baroda Bank of India Bank of Maharashtra Canara Bank Catholic Syrian Bankted Central Bank of India City Union Bank Limited Corporation Bank DCB Bank Limited Dena Bank Dhanlaxmi Bank Limited Federal Bank HDFC Bank ICICI Bank IDFC Bank IDFC Bank Indian Overseas Bank IndusInd Bank J & K Bank Karnataka Bank Karur Vysya Bank Kotak Bank Lakshmi Vilas Ban Nainital Bank Oriental Bank of Commerce Punjab National Bank Punjab & Sind Bank RBL Bank South Indian Bank State Bank of India Syndicate Bank Tamilnad Mercantile Bank UCO Bank Union Bank of India United Bank of India Vijaya Bank YES Bank Limited Account No. Branch Name IFSC Code Account Type Saving Current Cancelled Cheque

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