Registration

Username*

Email*

First Name

Last Name

Store Name*

https://barqmall.com/store/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

CNIC*

Front Image of CNIC*

Back Image of CNIC*

Business Registration Number

Account Title*

Account Number*

Branch Code*

Bank Name*

Upload Cheque Copy*

IBAN*

Password*

Confirm Password*

* Agree  Terms & Conditions

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