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SGI Agent Enrollment - Basic Info
Kindly help us with following information someone will get in touch with you shortly.
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Email
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Your email
Salutation
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Mrs.
Miss
M/S
Mr.
Name
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Your answer
Father Name
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Your answer
Mother Name
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Your answer
Religion
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Hindu
Muslim
Sikh
Christian
Jews
Persian
Others
Caste Category
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General
Scheduled Caste
Scheduled Tribe
OBC
GENDER
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Male
Female
Marital Status
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Single
Married
Divorced
Widowed
Language you are comfortable in
English
Hindi
Date Of Birth
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MM
/
DD
/
YYYY
Mobile Number
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Your answer
WhatsApp Number
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Your answer
AADHAR NO (LAST 4 DIGIT ONLY)
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Your answer
Highest Education Qualification
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House No.
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"Please mention the address as per your address proof which you will upload"
Your answer
Name of Society
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"Please mention the address as per your address proof which you will upload"
Your answer
Street Name
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"Please mention the address as per your address proof which you will upload"
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City
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"Please mention the address as per your address proof which you will upload"
Your answer
State
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"Please mention the address as per your address proof which you will upload"
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PIN CODE
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"Please mention the address as per your address proof which you will upload"
Your answer
Are you registered under GST? If yes then we will require a copy of your GST Certificate.
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Yes
No
Are you registered under MSME? If yes then we will require an acknowledgement on MSME declaration form.
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Yes
No
Handicapped
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Yes
No
Ex-Serviceman
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Yes
No
Certified that, the information furnished above are true to the best of my knowledge and belief.
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