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Traders and Service Providers Registration Form

If you are a Trader / Service Provider please complete the form below:

Name of the Company *
Please Enter Name of the Company ! ! !
Type of Organisation *
Please Enter Type of Organisation ! ! !
Nature of Business *
Please Enter Nature of Business ! ! !

Location

Registered Office
Registered Office Address *
Please Enter Registered Office Address ! ! !
Telephone No. *
Please Enter Telephone No. ! ! !
Fax
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Email ID*
Please Enter Correct Email ID ! ! !
Sales Office Address
Sales Office Address *
Please Enter Sales Office Address ! ! !
Telephone No. *
Please Enter Telephone No. ! ! !
Fax
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Email ID *
Please Enter Correct Email ID ! ! !
Godown/ Warehouse/ Yard Address
Authorized Stockiest / Agents Address *
Please Enter Authorized Stockiest / Agents Address!!!
Telephone No. *
Please Enter Mobile Number ! ! !
Fax
Invalid Input
Email ID *
Please Enter Correct Email ID ! ! !
Are you Authorized Agent in Mumbai for any manufacture, overseas supplier. If so please furnish names & address of your principals together with their confirmation letter.*

Please Enter Details ! ! !
Name and Designation of key officers at all the locations,*

Please Enter Name and Designation of key officers at all the locations ! ! !
List of items you deal with *

Please Enter List of item you deal with ! ! !
Product-wise name of major customers *

Please Enter Product-wise name of major customers ! ! !
Details of Quality System *

Please Enter Details of Quality System ! ! !
Financial Data for last 3 years First Year Second Year Third Year
Turnover in Rs. *
Please Enter Turnover in Rs. ! ! !
Please Enter Turnover in Rs. ! ! !
Please Enter Turnover in Rs. ! ! !
Capital employed in Rs. *
Please Enter Capital employed in Rs. ! ! !
Please Enter Capital employed in Rs. ! ! !
Please Enter Capital employed in Rs. ! ! !
Earning before Interest and Tax *
Please Enter Earning before Interest and Tax ! ! !
Please Enter Earning before Interest and Tax ! ! !
Please Enter Earning before Interest and Tax ! ! !
Profit after Tax. *
Please Enter Profit after Tax. ! ! !
Please Enter Profit after Tax. ! ! !
Please Enter Profit after Tax. ! ! !
Bankers name and address *

Please Enter Bankers Name ! ! !
Quality certificates held by you , awards received and efforts being taken by you for continual improvements.

Invalid Input
Registration Details
Income Tax No. *
Please Enter Income Tax No. ! ! !
Excise Control Code *
Please Enter Excise Control Code ! ! !
Division *
Please Enter Division ! ! !
Regd No. *
Please Enter Regd No.! ! !
CST Regn. No. *
Please Select CST Regdn. No. ! ! !
Service Tax Regn. No. *
Please Enter Service Tax Reg No. ! ! !
Excise Details *
Please Enter Excise Details ! ! !
Range *
Please Enter Range ! ! !
Collectorate *
Please Enter Collectorate ! ! !
VAT Regn. No. *
Please Enter Bst Regn. No. ! ! !
PAN No. *
Please Enter Pan No. ! ! !
Other Details if any *
Please Enter Other details if any ! ! !
  

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