Registration Form
ID
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Date of Registration
Company Name
Vendor Category
*
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Startup
MSE
PSU
Corporative
Other
MSME
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NO
YES
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SC/ST
OTHERS
WOMAN
Current Address1
Current Address2
Current Address City
Current Address PIN
First Name
*
Title
Mr.
Ms.
Dr.
Last Name
Department
Select
Administration
HR
Marketing
Materials Management
Mechanical
Electrical
Instrumentation
Civil
Production
IT
Medical
Secretariat
Vigilance
Material Handling
Training
Finance
Other
Phone No
Mobile No
*
Email
*
Gender
Male
Female
Date of Company Incorporation
PAN
*
GST
Aadhaar No.
CIN
Bank
*
Branch
*
IFSC
*
Account
*
Unit
NAMRUP
Documents
PAN
*
GST
Experience Certificate
MSME Certificate (If any)
others
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