Customer Registration
Fields with
*
are required.
Opps!!!
dummy
First Name
*
Middle Name
Last Name
*
Mobile No.
*
Email ID
Alternate Mobile
Date of Birth
Customer Type:
Prepaid
Prepaid
Address Details
Residence Type
*
Select Residence Type
Flat
Bungalow
House
Plot
Flat No
*
Floor
*
Street/Road
*
Society/Colony/Block
*
Phase
Sector
Nearest Landmark
*
State
*
Maharashtra
City
*
Select City
Area
*
Select Area
Pincode
Sub Area
Select Sub Area
Apartment
Select Apartment
Other Area
Other Pincode
Login Details
Delivery Mode
*
Select Delivery Mode
Ring the Bell
Hand Delivery
Do not Distrub
Status
*
Activated
Deactivated
Register
Reset
OTP send to Customer: on registered Mobile No
Submit
Resend OTP
OTP send to Customer on registered Mobile No
Submit
Resend OTP
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