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Agency Details
Agency Name*	111	Agency Email:* 22	22

Mobile No (User Id)* 33	33	Phone Number(Off)	444

Password*	555	Confirm Password:	666
	666		666
Agency Address * 777	77	City* 888	88

State/Province	999	Country	100

Pin	11	Agency Logo	12

PAN No* 13	13	Upload PAN Card * 14	14

GST No	15	Company Address Proof* 16	16

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Owner's Name* 111	111	Mobile Number * 22	22

Aadhaar No. * 333	333	Upload Aadhaar Card *	44
	Please Enter Valid Aadhar No.	44
Email	555

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