Business Correspondent Registration

Enter your CSP Code to prefill your details, then complete the mandatory fields marked *.

CSP Code

CSP Code *

Personal & Identity

First Name *

Last Name

Father / Spouse Name

Gender *

Date of Birth *

Mobile *

Alternate Mobile

Email *

PAN *

Qualification *

Religion

Caste

Location

State *

District *

Block

PIN Code *

Address Line 1

Address Line 2

GPS Coordinates *

BC Details

CBC (Corporate BC) *

Sanjivani Vikas Foundation

Bank Savings Account No *

IFSC Code

Average Monthly Commission

URN

IIBF Registration No. *

Certification Institute

Classification & Proof

Is SHG Member? *

Yes No

Is BC Sakhi? *

Yes No

Is BC ATO? *

Yes No

Fixed Point BC?

Yes No

Identity Proof Type *

Identity Proof Number *