PRO Registration

Fields marked with ' * ' are Mandatory

PRO Details

PRO Name *

Phone Number *

( Enter phone number based on country example: for INDIA - 04027139177, for USA - 809-971-6600 )

Website

( Website should be ex:http://www.inleap.com (or) www.inleap.com (or) https://stg3col.inleap.net )

Pan card *

( Enter pan card based on country example: for INDIA - AGHUQ2765C, for USA - 547-89-6612 )

Document Submitted *

( Document required to submit manually )

Address

Address *

( Address can be any data type )

Address2

City / Town

( Enter your present city/town )

Postal Code / Zip *

( Enter your area postal code / zip based on country example: for INDIA - 500062, for USA - 85083 )

State / Province *

District / County *

Contact Person Information

Name *

( characters [a-z] and special character [.] are allowed )

Phone Number *

( Enter phone number based on country example: for INDIA - 04027139177, for USA - 809-971-6600 )

Fax

( Enter fax number based on country example: for INDIA - 04040204954, for USA - 809-971-6600 )

UserName *

( Please fill in your full email address ex: rajesh.p@gmail.com )

Password *

( Password must have minimum of 6 and maximum of 25 characters, It should contain 1 upper case letter, 1 lower case letter, 1 special character and no spaces are allowed )

Confirm Password *

Security Question *

Security Answer *

( Required to recover/reset your password )

Bank Details

Bank Name *

(Bank name should contain characters or symbols ex:ICICI Bank )

Bank Account Number *

( Bank account number should be in integer type with minimum 8 digits )

Confirm Bank Account Number *

( Confirm bank account number should be in integer type with minimum 8 digits )

Bank Account Type *

IFSC Code *

( Enter IFSC code based on country example: for INDIA - ICIC0123456, for USA - 354789651 )