Registration

Email*

Store Name*

https://pujapath.ajitam.in/store/[your_store]

Store Phone*

FIRST NAME*

MIDDLE NAME

LAST NAME*

AGE*

GENDER*

PERMANENT ADDRESS*

TEMPORARY ADDRESS*

ID PROOF TYPE AND NO*

SHOP ESTABLISHMENT YEAR

GST NO

PAN NO

RESIDENTIAL PROOF AND NO*

IMAGE OF SHOP

Password*

Confirm Password*

* Agree  Terms & Conditions