Booking Form INTRODUCER USER INFORMATION Intro. Code * Please enter only 15 characters. Intro. Name * User Placement * LeftRight USER INFORMATION Upload Your Photo * Title * Mr.Mrs. Full Name * Father / Husband Title * s-ow-o Father / Husband Name * Date Of Birth * Age * Please enter a valid age (1-3 digits only) Gender * MaleFemale Written Password * Marital Status * MarriedUn-married Marriage Date * Aadhar No * Please enter a valid Aadhaar card number Upload Your Aadhar Frontside Photo / Pdf * Upload Your Aadhar Backside Photo / Pdf * Pan No. Status * YesNo Pan Card No * Please enter a valid Pancard number (10 alphanumeric uppercase characters only). Upload Your Pancard Photo / Pdf * GST No Upload Passport / Driving Licence / Election Card / Bank Passbook Frontside Photo / Pdf Upload Passport / Driving Licence / Election Card / Bank Passbook Backside Photo / Pdf PERMANENT ADDRESS Tehsil * State Name * Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal District Name * Pin Code * Mobile Number * Email Id * Address * CORRESPONDENCE ADDRESS IF CORRESPONDENCE ADDRESS IS SAME AS ABOVE Tehsil * State Name * Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal District Name * Pin Code * Mobile Number * Email Id * Address * BANK DETAILS Bank Name Branch Name IFSC Code PURCHASE DETAILS (CLICK ONE OF THE BELOW) PROPERTYHOLIDAY Occupation Self-EmployedGovernment EmployeePrivate Sector EmployeeBusiness OwnerFarmerRetiredHomemakerStudentUnemployedFreelance ProfessionalOther Registry Applicant OwnerCo-OwnerPower of Attorney HolderLegal HeirNomineeTenantRepresentativeOther Purchase Title * Mr.Mrs. Property Registry Name * Relation With Applicant * SelfSpouseParentChildSiblingGrandparentGrandchildLegal GuardianFriendBusiness PartnerOther NOMINEE INFORMATION Nominee Title * Mr.Mrs. Nominee Name * Relation With Nomiee * Family member/OtherBrotherFatherSonSisterMotherDaughterHusbandWife Nominee Age * Please enter a valid age (1-3 digits only) Please Signature Here