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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

Existing file uploaded

1783335067_#InPetro_51.pdf

BANK DETAILS

Account Holder Name *

Account Number *

IFSC Code *

Bank Name *

Branch *

SECURITY & LOCK

Security

Secure

Secure subscribers are visible only to Administrators. All enrollments of this subscriber will automatically become secure.

Account Status

Lock

Locking this subscriber blocks all actions like collections and prize money disbursal for their enrollments. Only verifications and interactions are allowed.