Become a Retailer Become a RetailerPlease enable JavaScript in your browser to complete this form.Have You Distributor idYesNoEnter the Distributor id *Retailer Full Name *Retailer Mobile Number *Retailer Alternative Mobile Number *Retailer Email ID *Through which medium do you want money back of wrong PAN card application? *PhonePeGooglePayPayTMPhonePe Number *GooglePay Number *PayTM Number *Shop Full Name *Shop Address *Home Address *Retailer Photo * Click or drag a file to this area to upload. Shop Photo * Click or drag a file to this area to upload. Aadhar Front Side * Click or drag a file to this area to upload. Aadhar Back Side * Click or drag a file to this area to upload. Pan card * Click or drag a file to this area to upload. Scan & Pay 999 Rupees Though PhonePe,GooglePay,PayTM,UPI and Take Screenshot UPI ID - BHARATPE09904157145@yesbankltdScan & Pay Rupees Though PhonePe,GooglePay,PayTM,UPI and Take Screenshot UPI ID - BHARATPE09904157145@yesbankltdUpload Payment Screenshot * Click or drag a file to this area to upload. पेमेंट का स्क्रीनशॉट अपलोड करें। ⫸ Payment UTR Number *पेमेंट यूटीआर नंबर अंतिम के 6 अंक दर्ज करें यूटीआर नंबर कहाँ रहता है क्लिक करके देखें। Submit
