Email*

First Name

Last Name

Store Name*

https://www.dokan.co.in/seller/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Alternate Phone No *

FSSAI Licence**

FSSAI Licence or Applied Copy Reference No

BANK A/C NAME**

BANK A/C NO**

BANK NAME**

BRANCH**

BANK IFSC CODE**

Store Opening & Closing Hour (Ex: Day- 11 am to 2 pm) & (EX: Evn - 5 pm to 10 pm)

Password*

Confirm Password*