Merchant Registration Request you to share the following information for our representative to contact you. All fields are mandatory        Are you an existing Merchant? :  Yes  No  Name : Shop Name : Area Name : State : --Select-- ANDAMAN AND NICOBAR ISLAND ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHHATTISGARH DAMAN AND DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KARNATAKA KERALA MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MEGHALYA MIZORAM NAGALAND NEW DELHI ODISHA PUDUCHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TELANGANA TRIPURA UNION TERRITORY UTTAR PRADESH UTTARAKHAND WEST BENGAL City : --Select-- ME Code : TID No(S)(Separate with comma) : Request : --SELECT-- GPRS EMI Flexi Currency MPR on Mail Other Shop Telephone No : Mobile No : Other Contact No : Do you have an EDC Machine in your outlet currently ? :  Yes  No  Which Bank's EDC? : --SELECT-- ICICI AXIS IDBI CITI Standard Chartered Others Name of the Other Bank : Remarks [ Optional ] :