Pharmacy onboarding application

Complete your details and attach the documents needed for review. Fields marked * are required.

Sign in with a verified partner account before applying to follow review status in your dashboard. A verified partner account is required to protect your documents and track review status. Submitting an application does not activate a partnership. Our team must verify your credentials and agree the service and commercial terms.

1 Pharmacy and proprietor details

Practice / business / operator name

Applicant / authorized contact name

Email address

Contact mobile number

Practice / business address

City / locality

PIN code

Website (optional)

2 Pharmacy operations

Owner / proprietor name

Drug licence number

Drug licence expiry date

Store opening hours

Delivery capability and service areas

Approximate daily customer volume

Stock availability and computerized billing arrangements

Digital payment acceptance

Prescription verification, preparation and delivery handoff arrangements

3 Tax and settlement details

PAN

Is GST registration applicable?

GST registration number

Bank account holder name

Bank name and branch

Bank account number

IFSC code

4 Document uploads

Attach a separate file or a combined PDF for each category. You can select more than one file where needed.

Valid drug licence

Shop photographs

PAN document

Government-issued identity proof of applicant / authorized signatory

Use a masked identity document where accepted; do not include unrelated personal information.

Cancelled cheque / bank verification document

GST certificate

5 Declaration and permission to review

I am authorized to apply and the information and documents supplied are accurate to the best of my knowledge.

I consent to Arogo Care reviewing this application and its documents, contacting me about onboarding, and retaining this application for up to 90 days as described in the privacy information.

I understand that submission is not approval or a signed partner agreement. Commercial terms and activation require a separate review and agreement.

Full name of authorized signatory

Applications are stored privately for review for up to 90 days. Contact support@arogocare.com with your reference to request deletion.

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