Sign-up request · VAIFX Care

Business details

As shown on your registration documents.

Legal business name

Name patients see(optional)

If different from the legal name.

Contact person

Work email

Mobile number

City

Full address

Website(optional)

We check the number and the name on the tax record.

I have GSTMost businesses. Your PAN is taken from your GSTIN.PAN only, no GSTFor small businesses below the GST limit.

GSTIN

Demo: 33AAACS1234M1Z5 shows a name mismatch.

Services you offer

Add each service on its own. You set prices after approval.

Choose what you offer first. The list changes with your choice.

PDF, JPG or PNG up to 20 MB each. Files stay in this demo browser.

0 of 3 required uploaded

Anything our verifier should know. For example: you have more branches, or a licence renewal is in progress.

Your message(optional)

0 / 1000

The details and documents are true and belong to this business.False details lead to rejection and may be reported.

I am a person, not a robotA quick check that keeps spam out of our review queue.

We reply within 2 working days. No sign-in details are created before approval.