1. Mode of Payment?* Bank Transfer - After Adding beneficiary in your net- bankingEasebuzz Payment GatewayCC Avenue - International CardQR CODE
2. Transaction ID *
3. Participant’s First Name (Pls don’t Put your Company / Business Name here) *
4. Participant’s Last Name (Pls don’t Put your Company / Business Name here) *
5. Phone Number *
6. WhatsApp Number *
7. Email *
8. Active Business Partner Nomination * ---YesNo
Add 1st Partner Name *
Email *
Phone *
Add 2nd Partner Name
Email
Phone
Add 3rd Partner Name
Email
Phone
9. Payment Done By(Name of the person who paid)*
10. Payment Made For(Name of the person who will attend the workshop?
12. Nature of Business ManufacturerService ProviderDealerRetailerDistributorConsultantAdvisorNetwork MarketingFreelancerTraderWholesalerProfessionals (CA, Lawyer)
13. What’s Your Annual Turnover?* 50 Crore -100 Crore26 Crore - 50 Crore10 Crore- 25 Crore6 Crore -10 Crore2- Crores 5- Crore50 Lacs - 1 Crore25 Lacs - 50 Lacs
14. What is Your Monthly Net Profit/ Monthly Net Income (in hand)?More than 2.5 CR Monthly1 CR to 2.5 CR Monthly50 lacs to 1 CR Monthly25 - 50 Lacs Monthly10 - 25 Lacs Monthly5-10 Lacs Monthly2-5 Lacs Monthly1-2 lacs Monthly50k - 1 lac monthlyUpto 50k monthly
15. Workshop Material Shipping Address *
16. Landmark *
17. City
18. StateAndaman & Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra & Nagar Haveli and Daman & DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu & KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttarakhandUttar PradeshWest Bengal
19. Country *
20. Pin Code *
21. Company Name (Mention The Name of Your Own Business here, write NA if you don’t own any Business yet)
22. GST Number (If you don't have a GST Number please write "NA") *
23. Billing Address *
24. Business Owner Designation / Profession: *
25. Product/Service You Deal in:
27. Team Size Solopreneur1-55-2020-100100-500500+
29. Approx Turnover

* Required