Registration: //mysanjeevani.in/system

Refferal ID*

Parent ID

Position:
Left Right

UserName *

Title*

First Name * (As on bank Account)

Mid Name (As on bank Account)

Last Name (As on bank Account)

Select *

Gardian Name * (As on bank Account)

Email ID

Date of Birth *

PAN

Country Code*

Mobile Number*

Address*

Address Line - 1*

Near By / Landmark*

State*

Pin Code*

BANK

BRANCH

IFSC

AC No

Nominee Name*

Relation With Nominee*

Create Password*

Confirm Password*

I agree to the Terms & Conditions
I will execute my Direct Seller Agreement and upload my KYC at the time of login.