Client Registration - Viren Enterprises

Create Your Account

Join Viren Enterprises - Your Premium Cleaning Partner

👤 Personal Information

Full Name *

Mobile Number *

Email Address *

Complete Address *

🛒 Product Selection

🧴

Phenyl 1L

Daily Care Formula

📦

Phenyl 5L

Bulk Pack

🚽

Toilet Cleaner

Power Plus

🆔 Identity Documents

Aadhaar Number

PAN Number

📎 Document Uploads

Aadhaar Card *

📄

Upload Aadhaar Card

JPG, PNG or PDF (Max 5MB)

PAN Card *

📄

Upload PAN Card

JPG, PNG or PDF (Max 5MB)

Self Photo *

📸

Upload Self Photo

JPG or PNG only (Max 5MB)

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