Nathan Health Plus
Retailer Registration Form
1
Personal
2
Business
3
Docs
4
Verify
Personal Information
Applicant Name
State
-- Select State --
Tamil Nadu
Pondicherry
District
-- Select State First --
Taluka
Street Name
Door Number
Pincode
Phone Number
WhatsApp (Optional)
Next
Business Information
Business Name
Ownership Type
-- Select Type --
Sole Proprietorship
Partnership
Private Limited
Other
Business address is same as personal address
Business State
-- Select State --
Tamil Nadu
Pondicherry
Business District
-- Select State First --
Business Taluka
Business Street
Business Door No
Business Pincode
Location
Get Current Location
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Next
Business Certificates
Add Certificate
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Next
Email Verification
Email Address
Send OTP
Enter OTP
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Submit Application