Please Enter The Details Here Employee Name(Required) Date(Required) MM slash DD slash YYYY Enter District Name & Mandal Name(Required) Village Name(Required) Shop Name(Required) Shop GST Number Shop Owner Name(Required) Shop Owner's Phone No(Required)Shop Type - Fertilizers / Seeds Shop / Agri Tools Shop / Reparing Shop Is Shop Owner Give Order(Required) Yes No Upload Order Copy Photo(Required) Drop files here or Select files Max. file size: 25 MB. Upload Shop Images(Required) Drop files here or Select files Max. file size: 25 MB, Max. files: 5. Δ
