Seller Sign Up Form

Company Name

Trading/Brand Name

Website URL

Private Limited

I hereby declare my sale is below 20 Lacks and I do not come under the ambit of GST. By

clicking this I also agree to indemnify hospisource of any liability arising out of this.

PAN Number

GST Number

Address of Head Office

City

Pincode

Country

Point Of Contact Details

Name

Name of Authorized Person as SPOC (Single Point of Contact for login into the platform)

Mobile Number

Email ID

Supporting Documents

Company Registration :

GST :

PAN :

Account Information

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You accept these Terms by creating a Hospisource account, through your use of the Services, or by continuing to use the Services after being notified of a change to these Terms.

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