Lightweight Rigid Structure, Interlocking Struts, Double Layered Grids, Portable Canteens, Mumbai, India

APPLICATION FOR REGISTRATION OF INDIGENOUS VENDOR


GENERAL
	* Name of Organization	:


	* Office Address	:


	* Contact Person Name	:

	* Fax	:		Country	Area	Number
	* Fax	:

	* TelePhone / Cell No.	:

	* Email Id (Please enter only one email address)	:

MANAGEMENT INFORMATION ( Chief Executive )
	* Chief Executive Name	:

	* Designation	:

	* Fax	:		Country	Area	Number
	* Fax	:

	* TelePhone / Cell No.	:

	* Email Id	:


	* Particulars of constitution of the firm	:

	* Type of Industry	:


	* Whether you have any collaboration ( financial / technical ) with foreign or domestic firm. If yes, please provide the address of the same.

OTHER INFORMATION
	* C. S. T Registration No	:

	* State S. T. Registration No	:

	* Trade Licence No.	:

	* Are you registered as small scale industries?	:

	* SSI Registration No	:

	* Are you registered with Excise?	:

	* Excise Code No	:

	* Excise Registration No	:

	*Excise Range & Division Nos	:

	*Excise Collectorate	:

	*Permanent Account No	:

	* Are you a service provider / contractor		:

	* PF No	:

	* Labor License No	:

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