Application Form

Basic details

DOB Format : DD/MM/YYYY
Date Of Birth *

Address

To become a Big Bazaar.com Online Selling Agent, you have to make a small investment as given below:

  • INR 50,000/- As Non interest bearing refundable security deposit.
  • INR 50,000/- As Set Up charges

Declaration

I hereby declare that the details given herein are true, correct and complete to the best of my knowledge and belief, the photo copy of the documents submitted at a later stage are genuine and belong me. I hearby undertake to promptly inform Future Retail Limited (FRL) in writing, of any changes in the information provided herein above and agree and accept that FRL is not liable or responsible for any losses, costs, damages arising out of any actions undertaken or activities performed by FRL on the basis of the information provided by me as also due to my not intimating / delay in intimating such changes. I hereby authorize FRL to disclose, share, remit in any form, mode or manner, all / any of the information provided by me. I hereby agree to provide any additional information / documentation that may be required by FRL, in connection with this application. I also agree that FRL has the right to reject my application form on any ground without any reason.

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