STAR ELECTRICAL ENTERPRISE

Postal address with Telephone, mobile, fax nos. and email ids
R-202, DEVNANDAN SUPREMUS, OPP.RAF CAMP, NEAR CRYSTAL INTERNATIONAL SCHOOL, S.P.RING ROAD,VASTRAL, AHMEDABAD, GUJARAT-382418.
E-mail ID:- star.electricalnplumbing2022@gmail.com
Mob. No.9702912252
a ) Head Office/Registered Office
R-202, DEVNANDAN SUPREMUS, OPP.RAF CAMP, NEAR CRYSTAL INTERNATIONAL SCHOOL, S.P.RING ROAD,VASTRAL, AHMEDABAD, GUJARAT-382418.
3 . Registration is sought as
SUPPLIER
a ) Are you a sole dealer/distributor or Regional dealer/distributor. State territories held and attach copy of valid authorized
Regional Dealer for Gujarat region.
b ) Whether you are usually holding ample stock of item(s) for which registration is sought
Yes
c ) Whether you have adequate facilities for after Sales Services, give details
Yes
7 . Whether firm is ISO certified or any other certification, mention details and documentary evidence
8. Group of Items/service for which registration is sought <a href="sites/default/files/ANNEXURE_c.pdf" target="_blank">(Refer Annexure-C for Group details)</a>
VI
b ) If Single Owner, name & addresses of Proprietor & Manager, if any
Mr.Hareshkumar Pandya -R-202, DEVNANDAN SUPREMUS, OPP.RAF CAMP, NEAR CRYSTAL INTERNATIONAL SCHOOL, S.P.RING ROAD, VASTRAL, AHMEDABAD, GUJARAT-382418.
Registered Options
(i) The Indian Companies Act, 1913
Upload duly signed and stamped letter containing above additional information
12. Sales Tax Registration No. (attach copies of GST Certificates)
13. Are you registered under NSIC and submit NSIC registration as a proof
14 . Are you registered under MSME and submit “Udyam Registration Certificate” as a proof
15 . Are you on the list of approved/registered supplier in Dept. of Atomic Energy or any of its units/any Govt./Semi-Govt. dept./GeM (Govt. e-Market)
16 . Bankers Name, address, Account no
Declaration
Sr. No. Name Position(Whether Proprietor, Partner or Share Holder) Contact Details Email ID/Phone Number
1 HARESHKUMAR PANDYA PROPRIETOR Mob.No.9702912252 -Email ID: star.electricalnplumbing2022@gmail.com
Place :
AHMEDABAD
Signature with Official seal
STAR ELECTRICAL
Enclosure to registration form
Brief description of materials for which registration is sought Whether you are manufacturer, dealer or distributor or Stockist. If Dealer/distributor give manufacturer’s territory represented If Dealer/Distributor/Stockist, Name and address
ELECTRICAL ITEMS DEALER
ELECTRICAL ITEMS DEALER FOR GUJARAT REGION OF ANCHOR PANASONIC ITEMS R-202, DEVNANDAN SUPREMUS, OPP. RAF CAMP, VASTRAL, AHMEDABAD
ELECTRICAL ITEMS DEALING IN ALL OTHER ELECTRICAL ITEMS. R-202, DEVNANDAN SUPREMUS, OPP. RAF CAMP, VASTRAL, AHMEDABAD
Upload duly signed and stamped letter containing above additional information
Declaration

a.We (name of the firm) do hereby declare that the entries made in this application are true to the best of our knowledge.

b. We also declare that all the material/documents provided by ITER-India, IPR shall be treated as CONFIDENTIAL and no information shall be passed on to any unauthorized person/firm without written permission of ITER-India, IPR

c. We also undertake to inform all subsequent changes affecting the accuracy of the answers given in this registration form will be promptly communicated to your organization

d. Ms/Mr. whose signatures are given below is an authorized representative of this firm

a. We
STAR ELECTRICAL ENTERPRISE
d. Ms/Mr.
HARESHKUMAR PANDYA
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