JK Supersitare Premier League

Registration Form

Mobile Number for Program Communication *

Mobile Number linked with Aadhar and PAN *

Person Name

Select RO Self *

Profile of the Firm *

Total Copier Sales (Carton/Month)*

Total JK Paper Sales (Carton/Month)*

Aadhar Card Number *

Upload Aadhar Card Copy (Front) *

Upload Aadhar Card Copy (Back) *

OTP

Firm Name

Firm GST *

Upload GST Certificate *

Firm’s PAN Card Number *

Upload PAN Card Copy *

Firm Address 1 *

Firm Address 2

Firm Address 3

State *

City *

Pincode *

Wholesaler/Retail Distributor Name *

WholeSaler/Retail Distributer GST *

Owner D.O.B *

Educational Profile *

Email *

Marital Status *

Annv. Date *

Spouse Name

Spouse D.O.B

Residential Address 1 *

Residential Address 2

Residential Address 3

State *

City *

Pin Code *

Phone Number

Yes I agree with all program terms and conditions. I authorise JK Paper & its agencies to communicate with me via email / sms / phone call.

^*Reseller means you own a warehouse or you directly supply your products.