Postal address with Telephone, mobile, fax nos. and email ids
Opportunities for Industry
a ) Head Office/Registered Office
Opportunities for Industry
3 . Registration is sought as
AUTHORISED DEALER
a ) Floor area of Factory (ies) in square meters
Opportunities for Industry
b ) No. of workers employed
Opportunities for Industry
c ) No. of staff employed
Opportunities for Industry
d ) List of machinery in your factory(ies)
Opportunities for Industry
e ) List of testing facilities at your end
Opportunities for Industry
b ) Whether you are usually holding ample stock of item(s) for which registration is sought
Opportunities for Industry
c ) Whether you have adequate facilities for after Sales Services, give details
Opportunities for Industry
a ) Whether you always hold adequate stock of the items for which registration is sought
Opportunities for Industry
b ) Whether you have adequate facilities for after sales service, give details.
Opportunities for Industry
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>
IV
a ) if a Limited concern, name & addresses of Directors & Managing Director
Opportunities for Industry
b ) If Single Owner, name & addresses of Proprietor & Manager, if any
Opportunities for Industry
c ) If Partnership, name & addresses of Partners
Opportunities for Industry
Registered Options
(iii) Any Act if not who are the Owners (please give full names & addresses)
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 | nikita | sdgs | fa |
Place :
etert
Signature with Official seal
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 |
|---|---|---|
| Opportunities for Industry | Opportunities for Industry | Opportunities for Industry |
| Opportunities for Industry | Opportunities for Industry | Opportunities for Industry |
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