Cosmetic & Beauty Centre Registration

Business Name *

Business Address *

Taluka

District Select District AhmednagarAkolaAmravatiAurangabadBeed BhandaraBuldhanaChandrapurDhuleGadchiroli Gondia HingoliJalgaonJalnaKolhapurLaturMumbai CityMumbai SuburbanNagpurNandedNandurbarNashikOsmanabad PalgharParbhaniPuneRaigadRatnagiri SangliSataraSindhudurgSolapur ThaneWardhaWashimYavatmalAhmedabadAmreliAnandAravalliBanas KanthaBharuchBhavnagarBotadChhota UdaipurDahodDangDevbhoomi DwarkaGandhinagarGir SomnathJamnagarJunagadhKhedaKutchMahisagarMehsanaMorbiNarmadaNavsariPanchmahalPatanPorbandarRajkotSabar KanthaSuratSurendranagarTapiVadodaraValsadNorth GoaSouth GoaAjmerAlwarBanswaraBaranBarmerBharatpurBhilwaraBikanerBundiChittorgarhChuruDausaDholpurDungarpurGanganagarHanumangarhJaipurJaisalmerJaloreJhalawarJhunjhunuJodhpurKarauliKotaNagaurPaliPratapgarhRajsamandSawai MadhopurSikarSirohiTonkUdaipurBalodBaloda BazarBalrampurBastarBemetaraBijapurBilaspurDantewada (South Bastar)DhamtariDurgGariyabandJanjgir-ChampaJashpurKabirdham (Kawardha)Kanker (North Bastar)KondagaonKorbaKorea (Koriya)MahasamundMungeliNarayanpurRaigarhRaipurRajnandgaonSukmaSurajpurSurguja Other

State * Select State Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdisha, OrissaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhand,UttaranchalWest Bengal

Pincode:

Website:

Phone:

Business Licence: (Select Any One) Select Licence Type Gumasta Licence Aadhar Udyog

Licence Number:

Business Startup Year:

Business Category * Select Membership Plan General SalonBeauty ParlourSpecial Hair DressersTattoo CentreSpa Centre

Membership Period: Select Period 1 - One Year 2 - Two Year 3 - Three Year

Owner Name *

Mobile *

Email ID * (Will be used as Login ID)

Password *

Confirm Password *

Introduced By (Member ID or Full Name)

I accept the membership Terms and Conditions of FDCWC organization. I agree to be communicated to by the committee via phone, SMS, email and other means.

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