* Shop Name To Be Registered : M/s

* Name of Contact Person :

* Father’s Name :

* Complete Shop Address :

* Village & Post :

* Postal Detail :

* Teshsil :

Landline Number :

* Email ID :

* Mobile Number

* Enter Voter ID/Driving License/Ration Card/Passport No :

* Enter PAN Card Number :

Shop Gumasta / TIN / Registration Number :

Applicant Banker’s Name :

Applicant Bank Branch Name :

Bank Account Name :

Bank Account Number :

Amount Deposited in Bank :

Registration Charges/Activation Kit Charges (Non Refundable Amount):

Amount Deposit Date :

Mode Of Amount Deposit:

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Terms & Conditions for Distributor & Retailers (T&C)

Distributors Will Not Have Option to Recharge Customers.
Retailer & Distributor Commission is Subject to Change at any given point of time without any prior Information.
Transaction Balance Cut Off Limit for Retailer is Rs.500 for Retailer Registered Directly Under Roundpay & For Distributor Cutoff Limit is Rs………..
Minimum Balance Cut off Limit that is to be maintained by User is Subject To Change @ Any Given Point of Time.
The Wallet Balance Available with Distributor Can Be Utilized For New Retailer Registration or To Transfer Wallet Balance.
To Keep the Roundpay user account live minimum 1 transaction (Recharge/Transfer etc)will be required every month, in case of failure of minimum 1 transaction in a calendar month, account may be permanently deleted/blocked without any prior information., in such case no liability will arise upon Roundpay of any kind/matter financial or non financial for available balance, refunds, pending activations etc.
The Distributor Has To Maintain Minimum 3 Days Average Balance For Refill to Retailers.
Distributorship appointment is only for the local place / Home town of the distributor & not for the entire district level. Separate distributors will be/ may be appointed at every Point of Sales.
Company is free to terminate any Distributor, Appoint a New Distributor or Appoint a Parallel Distributor Any Where For Which existing Distributor will not have any objection.
Any Retailer or Associated can be mapped from One Distributor to another without any prior information.
Roundpay reserves the rights to add /modify/Remove/alter Any part of Services provided /T&C at any given point without any prior information.
It will be responsibility of a distributor to explain terms & condition and keep a copy of same to be presented when demanded. Failure to present such will be treated as acceptance of T&C.
In case any dispute arises between the parties, The Juridiction of Lucknow. will have final Jurisdiction.
Dealer/Retailer/Distributor needs not to submit physical or Scanned KYC Registration form, KYC through Email shall be treated as your confirmation & acceptance for Terms & Conditions.19. Appointed distributor or retailer can not quit the service before prior notice of one month while company will do the same vice versa
Use of This Registration & Further Registration By Distributor For new Retailer &/Or upgradation of existing Dealer Will Be Governed By the Terms & Conditions stipulated from time to time.

Applicant’s Personal Details

Shop Bankers Details of Applicant

NonRefund Amount Banking Details