B E ASIA PRIVATE LIMITED

Postal address with Telephone, mobile, fax nos. and email ids
Mondeal Retail Park , N BLOCK , Sarkhej Gandhi Nagar Road , Bodakdev Ahemdabad , Gujarat , 380054
MOBILE NO : 9924419078
EMAIL ID : payal@bhartiengineering.asia
a ) Head Office/Registered Office
C-27,MADHUR MILAN SOCIETY,AKHBARNAGAR,AHMEDABAD-382481 Gujarat
b ) Branches/Sales Office
Bharuch , Gandhidham , Morbi , Rajkot , Vadodara ,
d ) Godown
2,3,5,6,7,8, Aaradhana Industrial Estate , Jetalpur, Ahemdabad Gujarat , 382427
3 . Registration is sought as
AUTHORISED DEALER
a ) Are you a sole dealer/distributor or Regional dealer/distributor. State territories held and attach copy of valid authorized
yes enclosed
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>
I
9. Letter of authority from OEM as dealer/distributor with details of dealership/distributorship, if applicable
Registered Options
(vi) And if so, the No. and date of Registration or license held under the act.
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
Place :
Ahmedabad
Signature with Official seal
not applicable
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
B E ASIA PRIVATE LIMITED
d. Ms/Mr.
Darshil Shah
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