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Sponsor Info

* MemberType : Owner ID
Owner ID Here
*Package :
*Sponsor Code :
*SerialNumber :
*PinNumber :
*Placement Code :
* Position :

Personal Information

*First Name :
*Last Name :
Email :
* Mobile :

Nominee Information

Nominee name :
Nominee Age :
Nominee Relation :

Banking Information

Name of the bank :
Account Number :
IFSC Code :
Pan card No :

Contact Information

Date of Birth :
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Address :
Landmark :
Country Name :
State Name :
City Name :
Pin Code :
Landline No :  
Note : Don't use '0' (Zero) in STD Code.
       

Login Information

* LoginID :
* Password :
* Re-Password :
* Transaction Password (PIN) :

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