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    Pagrexco Juice Bar Registration Form

    1. a) Name

    (b) S/o, D/o, W/o

    (c) Mobile No.

    (d) Address

    (e) Email

    (f) Qualification

    (g) Aadhar No.

    (h)Address as per Aadhar Card:

    (i) Whether the Juice Bar site and the address as per aadhar are in same district:-Yes/ No

    2. Preference for setting-up of PAGREXCO’S Juice Bar, Location & City-(complete details)

    3. Detail of Juice Bars, if any already in operation

    Detailed application form available at Pagrexco-juice-bar-policy may be filled and submitted with the Company in hard form.