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REGISTRATION
** Note : Registration can be only done for domestic customers. If you are a commercial customer, kindly contact our sales team.
(Note: Fields marked with * are mandatory.)
Basic Details
Mobile Number *
Full Name *
Gender
Male
Female
Marital Status
Married
Single
Count of Family Members *
Alternate Mobile No *
Email Id *
Address*
City
Taluka
State
District
Pin Code
Cylinder Details
Add all Cylinders you need *
Select Cylinder
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Quantity *
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Item
Quantity
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ID Card Type
Select ID Card Type
Aadhar Card
Driving License
Passport
Voter Id
ID Card#
Upload Id Card
How do you want to be notified for order updates
SMS
E-Mail
Both
None
User Details
Username
Password
Confirm Password
I hereby declare that the personal information provided in the user registration form is true and correct.
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