Registration of the Publishers
at Balbharati
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Registration Form
Enter Name of Bussiness or the Name of Invidual Publisher and Select Type of Publisher.
Name of Publisher
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:
Name of Publisher is Mandatory
Type of Publisher
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SELECT
INDIVIUAL
LIMITED COMPANY
NGO
PARTNERSHIP FIRM
PRIVATE LIMITED COMPANY
PROPRIETARY
TRUST
Select Type of Publisher
Enter GSTIN or PAN & Registered address as per GST or PAN records
GSTIN / PAN
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GST Or PAN is Mandatory
Invalid GSTIN or PAN
Survey No./Flat No./Peth/Lane/Society
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Address as per GST or PAN records
:
Address of Organization Mandatory
Place
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Post
*
Place is Mandatory
Post is Mandatory
District
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Taluka
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0
0
Select District
Select Taluka
Pin Code
*
Telephone No.
*
Pincode is Mandatory
Telephone No. is Mandatory
Invalid Pincode
Invalid Pincode
Enter Communications Details. Mobile No. will be verified by sending OTP and activation link will be sent to the email id.
Mobile Number
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:
Mobile Number is Mandatory
Invalid Mobile Number
Email ID
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Email ID is Mandatory
Invalid Email ID
Enter Full Name of the Business Owner
Name of the Business Owner
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Name of The Business Owner is Mandatory
Enter Valid Name of The Business Owner
Enter Business Details
Number of Years in Business
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Enter Number of Years in Business
Number of Years in Business is Mandatory
Enter Name of Partners seperated by commas
Name of Partners
*
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Enter Corporate Identification Number(CIN)
Corporate Identification Number(CIN)
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Enter Owner Date of Birth.
Date of Birth
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:
(dd-mm-yyyy)
Select From Date
Enter Signatory Details
Signatory Name
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Signatory Designation
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Enter Login Details
Username
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Username is Mandatory
Enter Valid Username
Password
*
:
Password is Mandatory
Password must contain: Minimum 8 and Maximum 10 characters atleast 1 UpperCase Alphabet, 1 LowerCase Alphabet, 1 Number and 1 of the Special Characters $@$!%*?&
Confirm Password
*
:
Confirm Password is Mandatory
Password must match
Captcha validation is required.