Licensee/Applicant Sign Up
Welcome to Licensee/Applicant Sign Up
Firm / Company Information
Note : Accepts Only PDF and
Maximum Size is 2 mb.
Constitution member(s) details
Sr No |
Name* |
Designation* |
Address* |
Contact Number* |
Email ID* |
Remarks |
Action |
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1 |
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Address of the Manufacturing/Testing/Sales/Loanee Premises(Please enter the address exactly as it appears in all supporting documents)
Note : In the case of a Loan License Registration, the address must be provided and should be located within the same state as the manufacturing premises address.
Address of the Registered Office
Purpose of Applying
Authorized Person
I hereby provide my
consent for the use of ID and Address Proof submitted on
this portal exclusively for the purpose of verification.