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Marketer Direct Seller ID*

Marketer Direct Seller Name

Placement Id*

Placement Name

Full Name*

DOB*

WhatsApp No*

Mobile No*

Email Id

Password*

Confirm Password*

Transaction Password

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Address

Pan Number

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Aadhar Number

State

City

Pincode

Nominee Name

Relation With Nominee

Bank Account Holder Name

Bank Name

Bank Branch Name

Bank Account No

Account Type

Current

Saving

Bank IFSC Code

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421 - 424, Vishala Supreme,
Opposite Torrent Power Station,
Sardar Patel Ring Road, Nikol,
Ahmedabad, Gujarat – 382350

421 - 424, Vishala Supreme, Opposite Torrent Power Station, Sardar Patel Ring Road, Nikol, Ahmedabad, Gujarat – 382350

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