Affix your recent colour photograph here

APPLICATION FORM







SHOP ADDRESS


PERMANENT ADDRESS


KYC DOCUMENTS

*KYC-As part of KYC Procedures, attach self attested photocopies of identity, Address & Establishment Proofs.


Nature Of Business

PAYMENT DETAILS

In favour of Ezee. Junction Private.Ltd

Your Banks Details

RETAILER DECLARATION

i) I have read and understood the terms & conditions provided with the form and I agree to all the terms and conditions listed on the Ezee Junction' website. (www.ezeejunction.com). I accept these as binding on me and received copy of T&C
ii) I have been provided a copy of the detailed terms & conditions as well
iii) I have understood all particulars of the investment plan chosen by me, trading process, margins and related terms & conditions at which services are provided as applicable on this date and as amended from time to time.
iv) I confirm that the information(s) & particulars supplied by me are correct in all respects
v) I hereby declare that I do not have a Criminal record
vi) I hereby agree to open an Ezee Junction wallet, along with the KYC Document submitted with this form,on my registered mobile no.



Note : *Address Proof should match with either Retail Outlet Address or Permanent Address