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Plumber
Service Technician
Mason
Service Technician Type
-- Service Technician Type --
HSP Technician
KDR Technician
Contract Technician
First name*
Last name*
Mobile Number*
Pin Code*
City*
State*
ID Type*
-- Select Id Type --
ID Number*
How many bathrooms do you usually work on in a year?
Do you work individually or do you have a team?
-- Choose Team Type --
Select Top 2 Bathroom fittings brands that you use
Hindware
Jaquar
Parryware
Cera
Kohler
Grohe
Other
Are you registered for any other brand's loyalty program?
-- Select Yes/No --
Yes
No
Upload ID Proof Image*
Bank Account
UPI ID
Account Holder Name*
Account Number*
Bank Name*
-- Select Bank Name --
IFSC Code*
UPI ID*
I hereby irrevocably and absolutely appoint Pine Labs Private Limited as my agent for the purposes of facilitating the transfer of amounts due from Hindware to me under this Plumber Number 1 program and expressly share my personal information for this purpose. I further consent to and authorise Pine Labs Private Limited to process and store my personal information (including any sensitive personal data)
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