Partner Registration Page

*Partner Type :
*Name of the Firm / Centre :
*Address of the Centre:
*Contact Person Name :
*Gender :
*Contact Person Designation :
*Contact Person Mobile Number :
*Landline number of the centre :
*Contact email ID :
Please provide correct email ID as verification mail will be sent to this ID. Also all future communication will be through this ID.This may be used as login id
*Create your Password :

*Enter Confirm Password :

Infrastructure details

No of PCs available :
Broadband connection :
UPS details :
Area of the centre in square feet :

Captcha Verification

Channel Partner     Franchise Partner   Referral Partner     College  
male female

KVA   hours standby

* Enter the Sum (Total) of the above expression here :
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