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Company Name:* Type of Organisation:*
 
Year of Establishment* Name of Proprietor/Director/MD*
 
Registered Office Address* City*
 
State:* Country:*
 
Pincode:* Landline No:*
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Contact Person:* Designation:*
 
Mobile No:* Fax No
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Alternate Contact Person:* Alternate No:*
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Website:* Email ID*
 
Nature of Business* PAN Number*
Do you have Service Tax No:* Statutory body under which the organisation is registered*
 
Service Tax No:*
 
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