Self Registration
Email
Date Of Birth*
Address1*
Address2*
Pin Code*
City*
State*
Experience in years
Annual Material Purchase (in lacs)
Avg. Sites per month
Value added services
Team Size
Retailer Pin code*
Retailer Name Number*
-- Select Retailer Name Number --
Retailer Name*
Retailer Mobile *
Retailer City*
Pan Number
Name as per PAN
PAN Upload
Bank Account
UPI ID
Account Holder Name*
Account Number*
Bank Name
-- Select Bank Name --
IFSC Code*
UPI ID*
I hereby irrevocably and absolutely appoint Pine Labs Private Limited as my agent for the purposes of facilitating the transfer of amounts due from JSW Paint and expressly share my personal information for this purpose. I further consent to and authorise Pine Labs Private Limited to process and store my personal information (including any sensitive personal data)
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