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Employer registration

First Name - Owner

Middle Initial (if any)

Last Name - Owner

Gender

Male Female

Full Address (Address with City, State & Zip)

Contact No. (Mobile)

Contact No. (Landline)

Email address - to be used for communication

Company Name (as per MCA records)

Company Registration No.

PAN No.

Aadhaar No.

Upload Aadhaar

Upload PAN

Upload passport size photograph

Office Pictures

Total Staff

Agreement : Terms & Conditions

Awarded Certificate