A Partnership That Grows with You

At Purvanchal, we’re not just building homes—we’re shaping communities and creating spaces where families thrive and dreams find an address. As a partner, you become part of something greater: a collaborative journey rooted in trust, growth, and shared success.

Together, we connect people with the right homes, ensuring every key handed over unlocks a future full of possibilities. If you believe in making a real impact, let’s connect and start building something extraordinary—together.

Register on the Purvanchal Agent Enrollment Portal to Become Our Exclusive Partner.

1

User Details

2

Company Info

3

Certificate

4

Owners Info

5

Staff Member Info

6

POA Info

7

Bank Info

8

Documents

User Details

Type*

Company Name As per Trade License*

Agency Type*

Country*

Mobile Country Code*

Mobile Number*

User Email ID*

The email ID entered in this field will be used in creating a User Name and Password for accessing the Purvanchal Portal. Kindly note that all communications will be sent to the registered email address therefore it is mandatory to enter an active and permanent email address” –Applicable for all type of registrations.

Company Information

Company Name as per the License*

Office Number/Unit Number*

Building Name*

Street Name*

Area Name*

Company City*

Country*

Postal Code*

Company Mobile Number*

Company email address*

Application form (COMPLETLEY FILLED)*

Download application form

Please ensure that all document copies must be in coloured format.
All uploaded documents must be in English.

Certificate of Incorporation

Issuing Authority*

Licensing/Certification Legal Type*

Certificate of Incorporation Number / Commercial License*

Licensing/Certification Expiry Date*

Note: Please choose the date from Calendar.

Licensing/Certification Issuance Date*

Note: Please choose the date from Calendar.

Certificate of Incorporation / Commercial License Certificate*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Memorandum of Association / Articles of Incorporation*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Owner Information - 1

Owner’s Full Name as per Passport*

Owner’s Passport Number*

Owner’s Nationality as per Passport*

Owner’s Passport Issue Date*

Note: Please choose the date from Calendar.

Owner’s Passport Expiry Date*

Note: Please choose the date from Calendar.

Owner’s Passport First Page*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Owner’s Passport Signature Page*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Owner's National ID Issue Date*

Note: Please choose the date from Calendar.

Owner's National ID Number*

Owner's National ID Expiry Date*

Note: Please choose the date from Calendar.

Owner's National ID Copy (Front and Back)*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Staff Member Information

Office Manager Full Name*

Office Manager Nationality*

Office Manager Email Address*

Office Manager Phone Number*

Office Admin Full name*

Office Admin Nationality*

Office Admin Email Address*

Office Admin Phone Number*

POA Information

Does the Owner has Power of Attorney?*

POA’s Passport First Page*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

POA’s Passport First Page(*)*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

POA’s Full Name as per Passport*

POA’s Passport Number*

POA’s Nationality as per Passport*

POA’s Passport Issue Date*

Note: Please choose the date from Calendar.

POA’s Passport Expiry Date*

Note: Please choose the date from Calendar.

Power of Attorney Designation*

POA By*

POA To*

POA Certificate Number*

POA's National ID Number*

POA's National ID Issue Date*

Note: Please choose the date from Calendar.

POA's National ID Expiry Date*

Note: Please choose the date from Calendar.

POA's National ID Copy (Front and Back)*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Power of Attorney Certificate*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Company Bank Information

**Important Note**: No commission will be released to a third party or personal bank account. Commission release requires a company to provide a company bank account as per the Trade License..

Bank Account Status*

Beneficiary Name*

Account Number*

IBAN / Country Bank Code*

Confirm IBAN / Country Bank Code*

Bank Name*

Bank Address*

Bank Address - City*

Bank Address - Pincode*

Bank Branch*

Swift/Sort Code*

Currency of Account*

Company Bank document*

Download application form

Please ensure that all document copies must be in coloured format.
All uploaded documents must be in English.

Upload Required Documents

Other Related Documents*

Note: Please ensure that all document copies must be in coloured format. All uploaded documents must be in English.

Add Indemnity Letter printed on company letter head with signature and stamp*

Download application form

Please ensure that all document copies must be in coloured format.
All uploaded documents must be in English.

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Thank you! Your submission has been received!

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