| Travel CRM

Agent Registration Form

USER NAME *

COMPANY NAME *

COMPANY EMAIL ID *

EMAIL ID *

Password *

Confirm Password*

CONTACT NUMBER *

FAX NUMBER

Reference Person Email

COUNTRY *

CITY *

CORPORATE REG. NO

SKYPE ID

CORPORATE DESCRIPTION

ADDRESS LINE*

OPERATION HRS FROM

OPERATION HRS TO

MONDAY *

Yes No

TUESDAY *

Yes No

WEDNESDAY *

Yes No

THURSDAY *

Yes No

FRIDAY *

Yes No

SATURDAY *

Yes No

SUNDAY *

Yes No

CERTIFICATE OF CORPORATION

CHOOSE CERTIFICATE

LOGO

CHOOSE LOGO

PROFILE (The Suggested Picture Size Must be 500px X 500px)

CHOOSE PROFILE

AGENT CURRENCY *

AGENT COUNTRY OF OPERATION *

SERVICE BANK DETAIL

ACCOUNT NUMBER *

BANK NAME *

BANK IFSC CODE *

BANK IBAN CODE *

Account Holder Name *

CURRENCY *

CONTACT PERSON

Contact Person Name *

Phone *

WhatsApp Number *

EMAIL *