Fill detail: Minimum Maximum

Personal Details :

GSTIN/UID :		State * :
Transporter Enrolment Id :
Trade Name :
Legal Name * :
Person type :		Category :
Reg. Date :	(dd/MM/yyyy)
PAN :
Merchant Id:

+ Contact Details :

Contact Person :
Contact Mobile No. :		Email Id:
Address :
Flat / Door / Building :		Name Of Premises / Building :
Road / Street :		Area / Locality :
City / Town :		Postal Code :
State :		Country :
Office Telephone :		Other Contact No. :

+ Customer's Other Details :

Business/Occupation :		Customer Id (if any) :
Date of Birth/Incorporation^ :		Aadhaar of Person :
Nationality/Country of Incorporation :
Father Name^ :		Form 60 Ack No. (If Applicable)^ :
Identification^ :		Id No. (as mention in document)^ :

Note: ^ Should be provide if valid PAN is not reported.