Vendor Registration

Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-India

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

GST Number

GST Number

Vendor Type*

Vendor Type*Manufacturer Super Distributor Dealer

fssai

fssaiOwn Promisivex Private Limited Not Applicable

fssai lic No.

fssai lic No.

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions