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Services for Business


Vendor Empanelment

Name of the Company
Product/Item (Make/Brand)
Whether Manufacturer/ Authorized  dealer/ Distributor / Authorized Service Provider
Name and Address of Individual
Name:
Address:
Email/Fax/Telephone Number:
Turnover Details (for the items specified above)
        Year

Number

  Value in Rs

2002-2003

2003-2004
Service Centres / Facilities

Location

Address

Manpower Details

Contact Persons
APGST Number
CST Number
PAN Number
Details of Application fee:

Demand Draft Number

Date

Amount

Bank
Other Relevant Information
List of Documents Enclosed