New Customer Registration
SELF APPRAISAL FORM
Product Category
Copper
Acid
Others
Category of Customer
Trader
OEM
Industry segmentation
Telecom Cable
Power Cable
IT Cable
Cable TV
Transformer
Appliance
Instruments
Winding Wires
Elctrcal Comp.&Prfl
Conductor
Capacitor Foils
Tubings
A/C Fins
Alloys
Convertor
Foils
Utensils
Sheets
Ammunition
Equip. & Machinary
Converter
Wind Energy
Auto Harness
Switchgear
Others
Brass/Alloys
Bearings
Battery
Tubes & Pipes
Castings
Traders
GENERAL INFORMATION
Customer Name
Registered Address
Promoter Name
Year of Establishment
Type of the Ownership
Private Limited Company
Public Limited Company
Properietorship
Partnership Firms
HUF
Government Organisation
Zone
Northern Zone
Eastern Zone
Southern Zone
Western Zone
COORDINATES (Address which will be displayed in your Invoice)
Street
House No.
City
District
PostalCode
Country
Region
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu und Kashmir
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Megalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
Andaman und Nico.In.
Chandigarh
Dadra und Nagar Hav.
Daman und Diu
Delhi
Lakshadweep
Pondicherry
Chhaattisgarh
Jharkhand
Uttaranchal
Telangana
TimeZone
Transportation Zone
Northern Zone
Eastern Zone
Southern Zone
Western Zone
PO Box
Company postal Code
Contact Person (Head Commercial)
Designation/ Department
Email ID
Phone Number
Mobile Number
Contact Person (Head Finance)
Designation/ Department
Email ID
Phone Number
Mobile Number
Contact Person (Quality Assurance)
Designation/ Department
Phone / Mobile
One Point Contact (OPC) Name
Contact Details of (OPC)
Designation/ Department of OPC
Email Id of OPC
Website
Fax
STATUTORY INFORMATIONS
ECC Number
Sales Tax Registration Number
Central Sales Tax Number
VAT Regs Number
TIN Number
Excise Range
Excise Division
Excise Collectorate
PAN Number
TAN Number
GST Registration Number
DOCUMENTS ENCLOSED
Copy of Registration Certificate
NA
Yes
No
Registration Certificate Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
ECC Number
NA
Yes
No
Upload ECC Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
Sales Tax Registration Document
NA
Yes
No
Sales Tax Registration Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
TIN Number
NA
Yes
No
TIN Number Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
Excise Details
NA
Yes
No
Excise Details Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
Permanent Account Number(PAN)
NA
Yes
No
Permanent Account Number Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
Central Sales Tax Number
NA
Yes
No
Upload CST Number Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
VAT Regs Number
NA
Yes
No
VAT Registration Number Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
TAN Number
NA
Yes
No
Upload TAN Number Document
Browse file
Input type(.pdf,.docx,.xlsx.,jpg file Only)
BANKING INFORMATIONS
Bank Name
Account Number
Bank address
Swift Code
IFSC Code
Upload Cancel cheque
Upload Bank Form
Note : Please upload Word or PDF file
Click To Download Bank Form
Captcha
Captcha
Enter captcha
