PRIME ID Application Form

Please carefully fill this application form and make sure to add all necessary attachments. Please also put good effort in describing your business, as this will be the basis for the evaluation process. The processing of your PRIME ID application usually takes 5 - 10 business days.

Name * :

Name of Your Business * :

ID Proof (PAN, AADHAAR, Voter ID, SC/ST Certificate) * :

Choose file

Upload Proof of Business (e.g. Certificate of Incorporation, Letter from Headman, MSME Registration, GST Registration) (If Applicable):

Choose file

Email ID * :

Mobile No. * :

District * :

Block * :

Your Business Website:

Your Business Facebook Page:

Your Business Instagram Page:

Preferred Language of Communication * :

Industry * :

Current Business Stage * :

Legal Form * :

Describe Your Business in a few sentences [max. 100 words] * : Count:0

Does your business have at least one woman as founder/co-founder/owner? * :

Yes

Upload up to two pictures of your product/service: (Your product/service should be clearly visible. In case of a digital product you can e.g. also upload screenshots.)*

Choose file

Upload Profile Image * :

Choose file

Enter Password * :

Re-enter Password * :

PRIME ID Application Form

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