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Add Subscriber

Fill all mandatory details to create and activate a new subscriber.

BASIC INFORMATION

Branch Auto-generated

Customer ID Auto-generated

Type *

Subscriber Name

Registration Date

GST Number

Customer Name

Date of Birth

Gender

Ration Number

CONTACT INFORMATION

Primary Mobile Number *

Alternate Mobile Number

Email Address

Father's Name *

Mother's Name

Spouse's Name

ADDRESS INFORMATION

Current Address

Address Line *

City *

District *

State *

Pincode *

Permanent Address

Same as Current Address

Address Line *

City *

District *

State *

Pincode *

PROFESSIONAL DETAILS

Occupation *

Annual Income *

PROFILE & SOURCE

Profile Photo

Click to upload or drag and drop

A clear front facing photo

JPG or PNG · Max 2 MB · Minimum 200 x 200 px

Source of Joining *

Employee

Subscriber

Application Form

Click to upload

PDF only · Max 5MB

Fill either Agent or Referral details

AGENT DETAILS

Agent Name

REFERRAL DETAILS

Referral Name

Referral Mobile Number

Relationship

NOMINEE DETAILS

Nominee Name *

Relationship *

Mobile Number *

Address

Same as Customer Address

KYC DETAILS

Aadhaar Number *

12-digit Aadhaar number with spaces

PAN Number

10-character PAN (e.g. ABCDE1234F)

Upload Aadhaar Card *

Click to upload Aadhaar Card

Front image or PDF · Max 2MB

BANK DETAILS

Account Holder Name *

Account Number *

IFSC Code *

Bank Name *

Branch *