Agent registration

PeLucky Agent Registration & KYC

Agent Application & KYC

Join the PeLucky Agent Network. Please fill out all sections carefully to proceed to payment.

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👤 Full Name (as per ID) *

📧 Email Address *

📱 Mobile / WhatsApp Number *

🏘 Primary Service Ward/Village Name *

🏠 Street Address / House No. *

🏙 City / District *

🏛 State / Province *

📍 Pin Code *

🤝 Sponsor/Referral Agent ID (Optional)

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🏛 Account Holder Name *

# Account Number *

🔖 IFSC Code *

🏦 Bank Name & Branch *

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Please enter the identification numbers and their respective issue dates.

💳 PAN Card Number *

📅 PAN Date of Issue *

🆔 Aadhaar Card Number *

We require the full unmasked number for verification.

📅 Aadhaar Date of Issue *

One-time Agent KYC & Registration Fee

Covers profile setup, verification, and training access.

₹2,000

I declare that all the information provided above is true and correct,