Company Registration Form

Only .pdf and .doc files allowed, please upload correct file or else you will not able to submit the application.

Company Details
Name of the Firm *	(As per the Name mentioned in Company Registration Certificate)
Category *
Check here if Small Scale Industry	Upload SSI Certificate Please Upload SSI certificate
For Small scale industry Security deposit is Rs 25,000(Twenty five thousand only) For Large scale industry Security deposit is Rs 100000 (One lakh only)
Equipment Details
Equipment's *		Brand Name *

Manufacturing Facility Details
Click here if same as Business Address.
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Manufacturing Facility Details [Remove]
Name of the Company *
Address Line 1 *	Address Line 2
City/Town *	Country *
State *	District *
Pincode *	State code-Phone no. *	-
Mobile No. *	Fax No.	-
Email *	Website
Quality Management System Certificate (ISO 9001)*	Valid Till Date*

Contact Persons Details

Name *

(First Name)*

(Middle Name)

(Last Name)*

Designation *

Email *

Phone No. *

Mobile No. *

Fax No.

Company Registration/Financial Details
Company Reg No. *		Company Reg Date *	Please enter company registration date
Company's PAN *		Annual Turnover(in Lacs) *

Upload List Of Authorized Retailers / Dealers Download Authorized Retailers / Dealers Format
List Of Retailers *

Upload Company Documents

Trade Mark and Company Registration certificate
*

Valid Till Date*

Quality Management System Certificate (ISO 9001)*

Valid Till Date*

Authorized Letter for Signatory*

ID Proof of Authorized Signatory *

Captcha *