*REQUIRED FIELDS
Name of Entity *
Entity Type*:- ProprietorCompanyPartnershipGovt.Other
Whether MSME YESNO If Yes – Plz attach registration form
Correspondence/ Registered Office Address*
Factory Address
Contact no.*
Fax no.
Your Email*
Website(URL)
Name of Contact Person* Mr.Mrs.Ms.
Contact Person Cell No..
Contact Person e-Mail
Type of Business ManufacturerImporterTraderDistributorContractor Authorized AgentOthers(specify)
PAN No*(upload a copy) VAT TIN No(upload a copy) ECC No(upload a copy) CST TIN No(upload a copy)
Name of Director/Partner/Proprietor* Mr.Mrs.Ms.
-------------------------------------------------------------------------------------------------- BANKING INFORMATION --------------------------------------------------------------------------------------------------
Bank Name :-
Bank Account NO :-
Branch Address :-
IFSC CODE :-
IBAN No. :-
BIC/SWIFT Code :-
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