Add Franchisee

Franchisee Information

(Please verify following information as per your franchisee agreement.)

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Personal Information

Name *
D.O.B. *
Address *
Pincode *
State *
District *
Village/Town/City *
Mobile Number *
Alternate Mobile No. *
Email ID *
Connectivity Type *
 
VSAT
VPN(Broadband, Data Card etc)

Franchisee Bank Account Information

(Other than settlement account)

Bank Name *
Branch Name *
Account Holder Name*
Accountant Number *
Cancelled Cheque/ Pass Book / A/c Statement Scan Copy *
IFSC Code *
Name as per PAN Card *
PAN Number *
PAN Card Scan Copy *
Aadhaar Number *
Aadhaar Card Scan Copy *

Disha Digital Center


Outlet Address *
State *
District *
Block *
Outlet location Village/Town/City *
Pincode *
Outlet Location Address Proof (Electricity /BSNL / MTNL etc. Bill) *Choose File

Location Type *
Rural     Urban     Other
Uploaded photograph front of shop