Bairisons Independent Business Associate Registration (BIBA)

BAIRISONS AGRO INDIA PRIVATE LIMITED

 

Bairisons Independent Business Associate Registration Form

Objective of this SHG web portal registration form is to collect data of the SHG to incorporate in the web portal and ensure appropriate data is published for achieving the vision and mission of BAIPL.
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Registration Form
Address Details*
Country*
State *
District *
Mandal *
Village*
Pin Code *
Postal Address *
Google Location
BIBA Details*
Name of the Bairisons Independent Business Associate (As Per Aadhar Card) *
KYC Details*
Aadhar Card Number *
PAN Number
Contact Details*
Mobile Number *
E-Mail
Secondary Contact Number
Referral Details*
BIBA Referral Number *
Store Details*
Select Nearest Store *
Here by confirm the above details are correct to our best knowledge and submit to BAIPL and give our consent to register our details in IBA program. I hereby purchase minimum the sum of Rs.1,000/- (Rupees One thousand only) every month towards the IBA program payout eligible to the BSHGS / BSM / BNS / BOS of the BAIPL
Captcha*