Merchant Name*

Merchant Legal Name*

Ownership Type*

Dropdown button

• Action
• Another action
• Something else here

Address Line 1*

Address Line 2

Country*

India

• Action
• Another action
• Something else here

Address Line 1*

Address Line 2

Country*

India

• Action
• Another action
• Something else here

Bussiness PAN Number*

Name on PAN card *

GST Identification No.(GSTIN)

GSTIN State*

• Karnataka
• Another action
• Something else here