Business Registration Application

👤 Applicant Details

🏠 Permanent Residence Address

House No. / Building Name *

Nearby Landmark

City *

District *

State *

PIN Code *

Mobile Number *

Alternative Number

Email ID *

🏢 Business Information

Business Name / Firm Name *

Shop No. / Building Name *

Proposed Business Address *

Nearby Landmark

City *

District *

State *

PIN Code *

Business Type *

Investment Range *

Property Type *

OwnedRented

Current Occupation *

Type of Ownership *

Agreement Tenure *

5 Years10 YearsNot Applicable

Shop Frontage (feet)

Shop Depth (feet)

💰 Financial Details

Important: Do not transfer any registration or security fee until you have independently verified the organization, official payment instructions and recipient. This form does not confirm approval or affiliation.

🏦 Business Bank Details

Account Holder Name *

Account Number *

IFSC Code *

Bank Name *

Branch Name *

📄 Documents To Be Attached

Upload only documents you are authorized to share. Keep each file under 5 MB. Accepted types are shown under each field.

Passport Size Picture *

Aadhaar Card *

PAN Card *

Shop Rent Agreement

Electricity Bill

Shop Photograph *

Bank Passbook

Bank Statement

Cancelled Cheque

GST Paper

FSSAI Licence

✅ Declaration & Final Submission

Your Application Number

BRA-20261110-FBE4A2

Application Date

10/11/2026

Declaration

I declare that the information provided by me is true, complete and correct to the best of my knowledge.

I understand that incorrect or misleading information may result in rejection of this application.

I authorize the application recipient to verify the information and documents submitted for evaluating this application.

I understand that submitting this form does not guarantee approval, appointment, dealership, distributorship or affiliation with any company.

I Agree
I confirm that the information is correct and I agree to the declaration above.

Digital Name Confirmation

This is a typed name preview, not a cryptographic or handwritten signature.

Applicant Name

Privacy note: identity and bank documents are sensitive. Submit them only after verifying who operates this website and how the information will be stored and protected.