Partner Registration Form
Fill the form to become an AmpedFleet delivery partner
Section A — Business Information
Business / Shop Name *
Business Type *
Furniture Store
Appliances
Interior Designer
Electronics
Mattress
Other
Shop Address *
City / Area
PIN Code
Expected Monthly Deliveries *
10-25
26-50
51-100
100+
Shop Ownership *
Owned
Rented
Leased
GST Registered?
Toggle if you have GST
GST Number
Trade License No.
Section B — Owner / Contact Details
Full Name *
Father's / Husband's Name *
Designation *
Owner
Partner
Manager
Other
Residential Address *
Mobile Number *
WhatsApp Number *
Your Partner Code Preview
AMC-XX0000
AMC + Shop Name (2 letters) + WhatsApp (last 4 digits)
Email (Optional)
Aadhar Card Available?
Toggle to add Aadhar details
Aadhar Number
PAN Number
Section C — Bank Details (Commission Payment)
Add Bank Details?
For commission payment
Bank Name
Account Number
IFSC Code
Account Holder Name
UPI ID (Optional)
Section D — Reference (Optional)
Reference Name
Reference Mobile
How did you hear about us?
Website
Social Media
Friend
Field Visit
Declaration
I declare that all information provided is true and correct. I agree to AMPEDFLEET Partner Program terms and authorize AMPEDFLEET to verify my information.
Registration Submitted!
Thank you for registering with AmpedFleet.
Your application is under review.
Your application is under review.
Your Partner Code
AMC-XX0000
⏳ Pending Admin Approval
Aapka registration admin ke paas review ke liye gaya hai. Approval hone pe aapke WhatsApp pe confirmation message aayega.
🏠 Go to Home
Aapka registration admin ke paas review ke liye gaya hai. Approval hone pe aapke WhatsApp pe confirmation message aayega.