Agro National Corporation Customer Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City/Island
Atoll
Postal / Zip Code
Contact number
*
-
Area Code
Phone Number
Contact Name
*
First Name
Last Name
GST Registration Certificate
*
Browse Files
Please upload a scanned copy of the GST registration certificate
Cancel
of
Company Registration Certificate
*
Browse Files
Please upload a scanned copy of the Company Registration Certificate
Cancel
of
Permit to be Open During Lockdown
Browse Files
Please upload the permit to be open during lockdown. Note: Orders can be placed only for businesses with a valid permit to be open during lockdown.
Cancel
of
Location
*
Male'
Hulhumale'
Villimale'
Other
Note
Sum total of all the items should equal to a minimum of 10 kg.
Submit
Should be Empty: