Admissions Portal Pannadhay University

Create a new Affiliate account for admission and collection management.

Register new affiliate users with banking details, login credentials, and commission settings from one clean and secure onboarding form.

Simple Add affiliate profile, bank details, and login credentials in one step.

Organized Keep affiliate records structured for payment tracking and portal access.

Secure Only authorized admins should create and manage affiliate accounts.

Agent Registration

1. Basic Information

Full Name (as per Aadhar) *

Date of Birth *

Gender *

Mobile Number *

Email ID *

Alternate Phone Number *

2. Identity Verification (KYC)

Aadhar Card Number *

PAN Card Number *

Aadhar Front Image *

Aadhar Back Image *

PAN Card Image *

3. Personal Details

Father's Name *

Mother's Name

Marital Status

4. Address Details

Current Address *

Current City *

Current State *

Current Pincode *

Permanent address same as current

Permanent Address *

Permanent City *

Permanent State *

Permanent Pincode *

Address Proof Type *

Address Proof Upload *

5. Bank Details

Account Holder Name *

Account Number *

Bank Name *

Branch Name *

IFSC Code *

Cancelled Cheque Upload *

6. Professional Details

Highest Qualification *

Occupation / Current Work *

Experience in Education/Admissions *

Years of Experience

Areas/Regions to Operate *

Preferred Courses to Promote *

7. Document Uploads

Profile Picture Upload *

Signature Upload *

Resume/CV Upload

8. Referral / Source

How did you hear about us? *

Referred By (Agent Name/Code)

9. Firm Details (Optional)

Firm Name

Firm Contact Number

Firm Address

Firm PAN Card Number

Firm PAN Card Upload

10. Terms & Declaration

I accept Terms & Conditions.

Declaration: all information provided is correct.

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