Become a Business Associate — Integrato Financial Services

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Personal Information

Basic personal details as per government ID

Full Name (as on PAN) *

Date of Birth *

Gender

Father's / Husband's Name

Mobile Number *

Alternate Mobile

Email Address

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Address & Identity Documents

Residential address and government ID details

Full Residential Address *

City *

State *

PIN Code

PAN Number *

Required for commission payments above ₹15,000

Aadhaar Number

For KYC verification

GST Number (if applicable)

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Professional Details

Your qualifications, experience, and existing licences

Highest Qualification

Current Occupation

Years of Experience in Financial Services

Category you want to work in *

Existing Licences (if any — leave blank if not applicable)

IRDAI Agent Code

AMFI ARN Number

Currently Associated With

Referred by (BA Code, if any)

How did you hear about us?

Why do you want to join Integrato? (Optional)

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Bank Account Details

For commission payment — must be in applicant's name

⚠️ The bank account must be in your name only. Joint accounts are not accepted for commission payments.

Bank Name

Account Number

IFSC Code

Account Type

✅ You will be asked to upload a cancelled cheque after your application is approved.

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Declaration & Consent

Please read carefully before submitting

I hereby declare and agree that:

All information provided in this application is true, correct, and complete to the best of my knowledge.
I understand that providing false information may result in rejection or termination of my BA partnership.
I will comply with all IRDAI, SEBI, AMFI, and other regulatory requirements applicable to my category.
I agree to complete mandatory training and certification as required by Integrato Financial Services.
I will not mis-sell, misrepresent, or engage in any unethical practices with clients.
I agree to maintain client confidentiality and protect their personal and financial data.
I understand that commission structures, targets, and terms will be as per the Business Associate Agreement.
I consent to Integrato Financial Services verifying my identity, PAN, and regulatory registrations.

I have read, understood, and agree to all the above declarations. I confirm that all information provided is accurate and I am applying in good faith to join the Integrato Business Associate network.

Submitting this form does not guarantee approval. Our team will review and contact you within 2 working days.

Become an IntegratoBusiness Associate

Become an Integrato
Business Associate