Dastaaivaja Center

Registration For Dastaaivaja Center Instruction
1.Photocopy Of Aadhar Card Must be attached with this form.
2.The Photocopy of Pan card No. Must be attached with registration this form.
3.Affix Passport Size color Photograph at the space Provide in the form
4.Shop act License Number Must be 16Digits only Numeric’s
1) कार्यालये नाव :-___________________
Shope Name
२)संस्था / संस्थाचालकाचे नाव:-______________
Operators Name
३)व्यवस्थापकाचे नाव :-________________
Menjemant Name
4)कार्यालये ठिकाण :-________________
Office Address
5)पिन कोड:-______________________
Pin Coad
6)आधार नंबर:-____________________
Aadhar Namber
७)Pan Card :-____________________
8)अर्ज नोंदणी क्र:-__________________
Application No.
9) फोटो :- ______________________
Photo
10)Email ID:-____________________
11)मोबाईल क्र:-____________________
Contact.No.
बँक माहिती Bank Information
1)बँकचे नाव :-___________________
(Bank Name)
२)बँक शाखा :-_____________________
(Bank Branch)
३)बँक-Bank IFCE Coad:-_________________
9)खातेदाराचे नाव :-_______________________
Owner Acouunt Name