Reseller Registration

Referral Number (Optional)

Name

Gender Male Female Other

Aadhar Number

Address

Post Office

District

State

Pin

Phone Number

WhatsApp Number

Email ID

Password

Confirm Password

Account Holder Name

Account Number

Bank Name

Branch Name

IFSC Code

I hereby confirm that I have thoroughly read, understood, and unconditionally agree to comply with the Terms & Conditions, Privacy Policy, and Business Guidelines of Omega.

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