BIBA Distributor (BIBAD)

BAIRISONS AGRO INDIA PRIVATE LIMITED

 

BIBA DISTRIBUTOR FORM

Objective of this BIBAD web portal registration form is to collect data of the BIBAD 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 Details
Address Details*
Country*
State *
District *
Mandal *
Village *
Pin Code *
Postal Store Address *
Google Location
BIBA Distributor Details*
Name of the BIBA Distributor (As Per Aadhar Card) *
KYC Details*
Aadhar Card *
PAN Number
Contact Details*
Mobile Number *
E-Mail
Bairisons Support Team*
Incharge BAIPL Staff Name *
BAIPL Staff Mobile Number *
District Area Manager Name *
District Area Manager Mobile Number *
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 the web portal. We hereby pay the sum of Rs.25,000/- (Rupees Twenty Five Thousand only) towards the web portal registration fee to the representative of BAIPL.
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