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Registration

Username*

Email*

First Name

Last Name

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Whatsapp Number*

Company Name / Firm Name*

Attach Company’s / Firm’s Registration Certificate (PDF Format Only) GST NOT ALLOWED*

Select THE ORGANIC SUPERMART Fulfillment Centres*

Your Designation*

Ownership Proof / Authorization Letter (PDF Format Only)*

PAN Number*

Attach Scanned Self Attested Pan Card Copy (PDF Format Only)*

Aadhar Number / Voter ID*

Attach Scanned Self Attested Aadhar Card / Voter Card Copy (PDF Format Only)*

GST Number*

Attach GST Certificate (PDF Format Only)*

FSSAI LICENCE NUMBER (States) [For Food Brands]

FSSAI License Expiry Date

Attach FSSAI States License [For Food Brands] (PDF Format Only)

GOTS CERTIFICATE NUMBER

GOTS Certificate Expiry Date

Attach GOTS CERTIFICATE (PDF Format Only)

OCS100 CERTIFICATE NUMBER

OCS100 Certificate Expiry Date

Attach OCS100 CERTIFICATE (PDF Format Only)

COSMOS Certificate Number

COSMOS Certificate Expiry Date

Attach COSMOS Certificate Copy (PDF Format Only)

NPOP Certificate Number

NPOP Certificate Expiry Date

Attach NPOP Organic Certificate (PDF Format Only)*

NOP Certificate Number

NOP Certificate Expiry Date

Attach NOP Organic Certificate (PDF Format Only)

EU Organic Certificate Number

EU Organic Certificate Expiry Date

Attach EU Organic Certificate (PDF Format Only)

Attach OTHER CERTIFICATES / LICENCE

Brand Name / Store Name*

Trademark / Brand / Store (Logo) (png, jpg or jpeg Format Only)*

Brand / Trademark Certificate (PDF Format Only)

About Your Brand / Store*

Bank Account Name*

Bank Account Number*

Confirm Bank Account Number*

Account Type*

IFSC*

Bank Branch Name*

Bank Name*

Bank Address*

Cancelled Cheque Image (PDF Format Only)*

Password*

Confirm Password*

* Agree  Terms & Conditions