Prgenix: Vendor Registration Form

Form Error:

Please correct the errors in the form.

Registration Form

Step 1 of 5: Projects 20% Complete

Projects Selection:

Select Project:

Select State:

Select District:

Available Manpower:

Experience (Years):

Firm/Company Information:

Firm Name:

Type of Firm:

Registration No.:

PAN: (Optional)

GSTIN: (Optional)

Registered Address:

Office Address:

Authorized Person:

Name:

Position:

E-Mail:

Mobile:

Aadhaar Number:

PAN Number:

Banking Information:

Bank Name:

Account Number:

IFSC Code:

Branch:

Registration Fee:

Fee Details:

Base Fee ₹10,000

GST (18%) ₹1,800

Total ₹11,800

Scan QR Code to Pay:

UPI ID: prgenix@kotak

UPI Transaction ID:

I accept the Terms and Conditions and Privacy Policy

© 2025 Prgenix. All Rights Reserved.

Success!

Your registration was submitted successfully.