Entrepreneur's Details

Name :*
(Name of the person who is applying on behalf of the enterprise)

   

Email Id :*

   

Mobile No :*

   

Landline No :
(with STD Code)

 

Fax No :
(with STD Code)

 

Aadhaar No :

 

Aadhaar Enrolment ID :

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Address :*

 

Country :*

INDIAOTHER  

State :*

[Select] ANDAMAN AND NICOBAR ISLANDS ANDRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHHATTISGARH DADAR AND NAGAR HAVELI DAMAN AND DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KARNATAKA KERALA LAKSHADEEP MADYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ODISHA PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TRIPURA UTTAR PRADESH UTTARANCHAL WEST BENGAL

  

District :*

[Select] ANGUL BALANGIR BALASORE BARGARH BHADRAK BOUDH CUTTACK DEOGARH DHENKANAL GAJAPATI GANJAM JAGATSINGHPUR JAJPUR JHARSUGUDA KALAHANDI KANDHAMAL KENDRAPARA KENDUJHAR KHORDHA KORAPUT MALKANGIRI MAYURBHANJ NABARANGAPUR NAYAGARH NUAPADA PURI RAYAGADA SAMBALPUR SONEPUR SUNDARGARH

 

PIN Code :*

   

Enterprise Details

Industry type :*

MSM(MICRO-SMALL-MEDIUM) LARGE  

PAN No. :*

   

WebSite URL :

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2. Note:For a single enterprise single user registration can be used for required services like EIN,PC and Incentives.

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